Provider Demographics
NPI:1689312696
Name:REYES, VERONICA CAMIS (TO)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:CAMIS
Last Name:REYES
Suffix:
Gender:F
Credentials:TO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. ESTANCIAS DE LOS ARTESNOS
Mailing Address - Street 2:CALLE MADERA 433
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771
Mailing Address - Country:US
Mailing Address - Phone:787-930-3285
Mailing Address - Fax:
Practice Address - Street 1:URB. ESTANCIAS DE LOS ARTESNOS
Practice Address - Street 2:CALLE MADERA 433
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-930-3285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-20
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR737225X00000X
PR980225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist