Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 5963 | PR |
NPI | 1265456040 |
---|---|
Provider Name | Dr. Maritza Trinidad Reyes |
First Address | Rio Piedras, PR 00926-6013 |
Second Address | Rio Piedras, PR 00926-6013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 08/07/2007 |