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General NPI Number Information
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NPI Number | 1346690518
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Entity Type | Individual
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Provider Name | REIMUS VALENCIA DO
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Gender | Male
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Dates
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Enumeration Date | 06/17/2016
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 6970 E CHAUNCEY LN STE 100
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City | PHOENIX
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State | AZ
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Zip | 85054-5158
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Country | US
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Telephone | 602-788-7211
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Fax | 602-788-1890
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Provider Business Mailing Address
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Address Line | 6970 E CHAUNCEY LN STE 100
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City | PHOENIX
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State | AZ
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Zip | 85054-5158
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Country | US
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Telephone | 602-788-7211
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Fax | 602-788-1890
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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 | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 34.014067
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 50101022350
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 010358
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License Number State | AZ
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