Provider Demographics
NPI:1306813100
Name:CLAUDIO, REINALDO (MD)
Entity Type:Individual
Prefix:
First Name:REINALDO
Middle Name:
Last Name:CLAUDIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1539 PARANA ST
Mailing Address - Street 2:URB EL PARAISO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-2813
Mailing Address - Country:US
Mailing Address - Phone:787-764-8281
Mailing Address - Fax:787-764-8218
Practice Address - Street 1:1539 PARANA ST
Practice Address - Street 2:URB EL PARAISO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-2813
Practice Address - Country:US
Practice Address - Phone:787-764-8281
Practice Address - Fax:787-764-8218
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11363208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
H29072Medicare UPIN