NPI Code Details Logo

NPI 1306052659

NPI 1306052659 : MARIA JUDITH REYES R.PH.,PHARMD.,MHP : SAN JUAN, PR

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1306052659
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MARIA JUDITH REYES R.PH.,PHARMD.,MHP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/15/2007
-----------------------------------------------------
    Last Update Date     |    07/08/2007
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    334 BLVD. DELOS ARBOLES LOS ARBOLES DE MONTEHIEDRA
-----------------------------------------------------
    City                 |    SAN JUAN
-----------------------------------------------------
    State                |    PR
-----------------------------------------------------
    Zip                  |    00926
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    787-287-1078
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    600 BLVD. DE LOS ARBOLES 334 LOS ARBOLES DE MONTEHIEDRA
-----------------------------------------------------
    City                 |    SAN JUAN
-----------------------------------------------------
    State                |    PR
-----------------------------------------------------
    Zip                  |    00926-7114
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    787-287-1078
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    183500000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacist
-----------------------------------------------------
    License Number       |    3796
-----------------------------------------------------
    License Number State |    PR
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    183500000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacist
-----------------------------------------------------
    License Number       |    20706
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.