Provider Demographics
NPI:1437130077
Name:ROSARIO-REGLERO, MAYDEE ANNETTE (MD)
Entity Type:Individual
Prefix:
First Name:MAYDEE
Middle Name:ANNETTE
Last Name:ROSARIO-REGLERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7003 WOODWAY DR
Mailing Address - Street 2:SUITE 311
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-6170
Mailing Address - Country:US
Mailing Address - Phone:254-741-1688
Mailing Address - Fax:254-741-9767
Practice Address - Street 1:7003 WOODWAY DR
Practice Address - Street 2:SUITE 311
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-6170
Practice Address - Country:US
Practice Address - Phone:254-741-1688
Practice Address - Fax:254-741-9767
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8925207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165258801Medicaid
TX8B9027Medicare ID - Type Unspecified
TX165258801Medicaid