Provider Demographics
NPI:1497542724
Name:GADEA REYES, JOSE ARQUEL III (DC)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:ARQUEL
Last Name:GADEA REYES
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B COND JARD SAN IGNACIO
Mailing Address - Street 2:APT. 1001B
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:B COND JARD SAN IGNACIO
Practice Address - Street 2:APT. 1001 B
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-7021
Practice Address - Country:US
Practice Address - Phone:787-547-0485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1050111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor