Provider Demographics
NPI:1265456040
Name:TRINIDAD REYES, MARITZA (MD)
Entity type:Individual
Prefix:DR
First Name:MARITZA
Middle Name:
Last Name:TRINIDAD REYES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:EL SONERIAL MAIL STATION BOX 641
Mailing Address - Street 2:WINSTON CHURCHILL AV.138
Mailing Address - City:RIO PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6013
Mailing Address - Country:US
Mailing Address - Phone:787-790-2089
Mailing Address - Fax:787-790-2089
Practice Address - Street 1:VETERANS HOSPITAL CASIA STREET
Practice Address - Street 2:NUMBER 10
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00926-6013
Practice Address - Country:US
Practice Address - Phone:787-641-7582
Practice Address - Fax:787-641-7595
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR5963207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine