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General NPI Number Information
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NPI Number | 1245344977
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Entity Type | Individual
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Provider Name | ROBERTO MAURO REY M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 04/08/2013
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Provider Practice Location Address
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Address Line | 640 S EXPRESSWAY 77 STE 2
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City | RAYMONDVILLE
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State | TX
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Zip | 78580-4241
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Country | US
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Telephone | 956-689-4120
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Fax | 956-689-4142
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Provider Business Mailing Address
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Address Line | 640 S EXPY 77 STE 2
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City | RAYMONDVILLE
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State | TX
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Zip | 78580-4241
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Country | US
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Telephone | 956-689-4120
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Fax | 956-689-4142
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | L0540
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License Number State | TX
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