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NPI Code Detail

MEDICARE: DR. HECTOR REYES MBA

MEDICARE: DR. HECTOR REYES MBA
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1740340397
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HECTOR REYES MBA
Provider Business Mailing Address
First Line : 1262 BOSTON RD STE 2
Second Line :
City : BRONX
State : NY
Zip : 10456-3541
Country : US
Telephone Number : 917-771-9827
Fax Number : 718-732-2243
Provider Business Practice Location Address
First Line : 1262 BOSTON RD STE 2
Second Line :
City : BRONX
State : NY
Zip : 10456-3541
Country : US
Telephone Number : 917-771-9827
Fax Number : 718-732-2243
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 06/19/2025

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