Provider Demographics
NPI:1669033858
Name:REYES GALARZA, DEBORA LIZ (DMD)
Entity type:Individual
Prefix:DR
First Name:DEBORA
Middle Name:LIZ
Last Name:REYES GALARZA
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1-30 PALACIOS DEL ESCORIAL
Mailing Address - Street 2:AVE DE DIEGO
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987
Mailing Address - Country:US
Mailing Address - Phone:787-214-1759
Mailing Address - Fax:
Practice Address - Street 1:1324 AVE SAN ALFONSO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3619
Practice Address - Country:US
Practice Address - Phone:787-767-7148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-27
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR33871223P0700X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Yes1223P0700XDental ProvidersDentistProsthodontics