Provider Demographics
NPI:1437127818
Name:REYES, GLORIA E (MD)
Entity Type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:E
Last Name:REYES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:108 CALLE AMATISTA
Mailing Address - Street 2:URB. GOLDEN GATE
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-3421
Mailing Address - Country:US
Mailing Address - Phone:787-396-6187
Mailing Address - Fax:
Practice Address - Street 1:CENTRO MEDICO
Practice Address - Street 2:UPR SCHOOL OF MEDICINE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00929-0134
Practice Address - Country:US
Practice Address - Phone:787-777-3225
Practice Address - Fax:787-758-5307
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR4281174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist