Individual
ODIN DELOS REYES
Active
Individual
ODIN DELOS REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
CT 000 680
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004186947
—
CT
01
—
480026445
RAILROAD MEDICARE PIN
CT
Enumeration date
08/29/2006
Last updated
04/26/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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