Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 6873 | PR |
NPI | 1023077575 |
---|---|
Provider Name | Dr. Hector M Rosario Reyes SR. |
First Address | Caguas, PR 00726-7289 |
Second Address | Caguas, PR 00725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2006 |
Last Update Date | 03/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0028521 | (02) | |
6873 | LICENCE (01) | PR |