Individual
NELLY REYES GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
AB5 CALLE NEBRASKA, URB. CAGUAS NORTE, CAGUAS, PR 00725-2240
(787) 704-0421
(787) 746-8551
Mailing address
PO BOX 363001, SAN JUAN, PR 00936-3001
(787) 638-4151
(787) 746-8551
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
624
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50483
PMC MEDICARE CHOICE
PR
01
—
825693
MEDICARE MUCHO MAS
PR
Enumeration date
04/10/2006
Last updated
03/11/2014
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