Provider Demographics
NPI:1558113886
Name:CHOI REINA, BAK NIN
Entity Type:Individual
Prefix:
First Name:BAK NIN
Middle Name:
Last Name:CHOI REINA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND. COSTA DEL SOL
Mailing Address - Street 2:5870 CALLE TARTAK, BZN 11103
Mailing Address - City:CRAOLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979
Mailing Address - Country:US
Mailing Address - Phone:787-317-9991
Mailing Address - Fax:
Practice Address - Street 1:LAUREL PLZ
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-3273
Practice Address - Country:US
Practice Address - Phone:787-798-3001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program