Healthcare Provider Details

I. General information

NPI: 1578796173
Provider Name (Legal Business Name): HEALTHREACH MEDICAL CARE CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2009
Last Update Date: 08/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RM 817 NORTH TOWER CATHEDRAL HEIGHTS 279 E. RODRIGUEZ SR. BLVD,
QUEZON CITY PHILIPPINES
1100
PH

IV. Provider business mailing address

RM 817 NORTH TOWER CATHEDRAL HEIGHTS 279 E. RODRIGUEZ SR. BLVD,
QUEZON CITY PHILIPPINES
1100
PH

V. Phone/Fax

Practice location:
  • Phone: 63-723-0101
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberPHL043628
License Number StateZZ

VIII. Authorized Official

Name: MR. MARVIN JOHN SALCEDO REYES
Title or Position: PRESIDENT/CHAIRMAN
Credential:
Phone: 63-723-0101