Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 13405 | PR |
NPI | 1063518249 |
---|---|
Provider Name | Francisco J Reyes Vale |
First Address | Mayaguez, PR 00680-7042 |
Second Address | Mayaguez, PR 00680-7042 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 01/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H82863 | (02) |