Healthcare Provider Details

I. General information

NPI: 1356465967
Provider Name (Legal Business Name): RJR & CO., PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 07/28/2024
Certification Date: 07/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

576 CALLE CESAR GONZALEZ DORAL BANK CENTER SUITE 506
SAN JUAN PR
00918-3756
US

IV. Provider business mailing address

576 CALLE CESAR GONZALEZ DORAL BANK CENTER SUITE 506
SAN JUAN PR
00918-3756
US

V. Phone/Fax

Practice location:
  • Phone: 787-772-1007
  • Fax: 787-772-1009
Mailing address:
  • Phone: 787-772-1007
  • Fax: 787-772-1009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number13805
License Number StatePR

VIII. Authorized Official

Name: DR. RICARDO JESUS REINA
Title or Position: PRESIDENT
Credential: MD
Phone: 787-772-1007