Provider Demographics
NPI:1235997180
Name:MERCEDES REYNA, ARELIS (RN)
Entity Type:Individual
Prefix:
First Name:ARELIS
Middle Name:
Last Name:MERCEDES REYNA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB VERSALLES CALLE 5 E17
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-2111
Mailing Address - Country:US
Mailing Address - Phone:787-533-2407
Mailing Address - Fax:
Practice Address - Street 1:URB VERSALLES CALLE 5 E17
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-2111
Practice Address - Country:US
Practice Address - Phone:787-533-2407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR72088163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Multi-Specialty