Provider Demographics
NPI:1235101148
Name:REYES, MILAGROS T (MD)
Entity Type:Individual
Prefix:MRS
First Name:MILAGROS
Middle Name:T
Last Name:REYES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8549
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-8549
Mailing Address - Country:US
Mailing Address - Phone:787-258-6970
Mailing Address - Fax:787-258-6970
Practice Address - Street 1:39 CALLE RAFAEL LAZA
Practice Address - Street 2:
Practice Address - City:AGUAS BUENAS
Practice Address - State:PR
Practice Address - Zip Code:00703-3220
Practice Address - Country:US
Practice Address - Phone:787-924-7575
Practice Address - Fax:787-924-7575
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-03
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR85362080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine