Provider Demographics
NPI:1023077575
Name:ROSARIO REYES, HECTOR M SR (MD)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:M
Last Name:ROSARIO REYES
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7289
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-7289
Mailing Address - Country:US
Mailing Address - Phone:787-746-9171
Mailing Address - Fax:787-746-9172
Practice Address - Street 1:AVE DEGETAU # F7
Practice Address - Street 2:BONNEVILLE TERRACE
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-746-9171
Practice Address - Fax:787-746-9172
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-22
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6873207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6873OtherLICENCE
0028521Medicare UPIN