Provider Demographics
NPI:1508831496
Name:REYES-ORTIZ, ARNALDO (M D)
Entity Type:Individual
Prefix:DR
First Name:ARNALDO
Middle Name:
Last Name:REYES-ORTIZ
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A17 CALLE 2
Mailing Address - Street 2:VILLA UNIVERSITARIA
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791
Mailing Address - Country:US
Mailing Address - Phone:787-640-2190
Mailing Address - Fax:787-719-5843
Practice Address - Street 1:A17 CALLE 2
Practice Address - Street 2:VILLA UNIVERSITARIA
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-640-2190
Practice Address - Fax:787-719-5843
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6918207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine