Individual
RICARDO REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1852 N MASTICK WAY, NOGALES, AZ 85621-1063
(520) 281-1550
(520) 281-1112
Mailing address
825 N GRAND AVE STE 100, NOGALES, AZ 85621-1061
(520) 761-2128
(520) 281-1112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A196106
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70499
ARIZONA MEDICAL BOARD
AZ
Enumeration date
04/27/2020
Last updated
07/10/2024
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