Healthcare Provider Details

I. General information

NPI: 1831013994
Provider Name (Legal Business Name): MISS DAYANA M REYES REYES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 CALLE 9 BDA PASARELL
COMERIO PR
00782-2902
US

IV. Provider business mailing address

4 CALLE 9 BDA PASARELL
COMERIO PR
00782
US

V. Phone/Fax

Practice location:
  • Phone: 787-451-8855
  • Fax:
Mailing address:
  • Phone: 787-451-8855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number12519
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: