Provider Demographics
NPI:1639256035
Name:VIZCAINO-REYES, BELKIS JOSEFINA (MD)
Entity Type:Individual
Prefix:DR
First Name:BELKIS
Middle Name:JOSEFINA
Last Name:VIZCAINO-REYES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BELKIS
Other - Middle Name:JOSEFINA
Other - Last Name:VIZCAINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1225 GERARD AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10452-8001
Mailing Address - Country:US
Mailing Address - Phone:718-960-2834
Mailing Address - Fax:718-960-2619
Practice Address - Street 1:1225 GERARD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-8001
Practice Address - Country:US
Practice Address - Phone:718-960-2834
Practice Address - Fax:718-960-2619
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY189755208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics