Individual
DR. CARMEN LYDIA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
COND BONNEVILLE, CALLE 2 F19, CAGUAS, PR 00725-5606
(787) 744-4721
Mailing address
COND BONNEVILLE, CALLE 2 F19, CAGUAS, PR 00725-5606
(787) 744-4721
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11626
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11626
MEDICAL LICENSE
PR
Enumeration date
02/17/2006
Last updated
03/18/2014
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