Individual
DR. RAUL E REYMUNDI-RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BO. MONACILLOS, HOSPITAL INDUSTRIAL- CENTRO MEDICO, SAN JUAN, PR 00936
(787) 754-2525
(787) 767-3968
Mailing address
FF12 CALLE MAGNOLIA, BORINQUEN GARDENS, SAN JUAN, PR 00926-6306
(787) 720-2689
(787) 767-3968
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
25
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04766DM-2
STATE NARCOTICS LICENSE
PR
01
—
5634
STATE LICENSE
PR
01
—
AR9582683
FEDERAL NARCOTICS LICENSE
—
Enumeration date
04/04/2007
Last updated
07/08/2007
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