Healthcare Provider Details

I. General information

NPI: 1922746114
Provider Name (Legal Business Name): DR. RICARDO REYES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 AVE CASA LINDA
BAYAMON PR
00959-9000
US

IV. Provider business mailing address

RR NUM 10 BOX 10303
SAN JUAN PR
00926
US

V. Phone/Fax

Practice location:
  • Phone: 787-789-1996
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number834
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: