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NPI Code Detail

MEDICARE: WANDY REYES-RIVERA RPT

MEDICARE:   WANDY  REYES-RIVERA  RPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist625PR

General Provider Information

NPI Number : 1619960358
Entity Type Code : Individual
Provider Name (Legal Business Name) : WANDY REYES-RIVERA RPT
Provider Business Mailing Address
First Line : PO BOX 760
Second Line :
City : CANOVANAS
State : PR
Zip : 00729-0760
Country : US
Telephone Number : 787-876-0250
Fax Number : 787-876-5618
Provider Business Practice Location Address
First Line : 972 CALLE BAUHINIA
Second Line : LOIZA VALLEY
City : CANOVANAS
State : PR
Zip : 00729-3410
Country : US
Telephone Number : 787-876-0250
Fax Number : 787-876-5618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2005
Last Update Date : 01/30/2012

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Directions to “ WANDY REYES-RIVERA RPT” Practice Location

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