Individual
MADELINE REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12054 TANGO LN, WOODBRIDGE, VA 22193-4194
(703) 580-7392
Mailing address
12054 TANGO LN, WOODBRIDGE, VA 22193-4194
(703) 580-7392
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15808
PR
208D00000X
General Practice Physician
15808
PR
Other
Enumeration date
06/21/2006
Last updated
09/11/2025
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