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General NPI Number Information
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NPI Number | 1356465967
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Entity Type | Organization
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Legal Business Name | RJR & CO., PSC
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/28/2024
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Provider Practice Location Address
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Address Line | 576 CALLE CESAR GONZALEZ DORAL BANK CENTER SUITE 506
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City | SAN JUAN
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State | PR
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Zip | 00918-3756
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Country | US
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Telephone | 787-772-1007
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Fax | 787-772-1009
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Provider Business Mailing Address
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Address Line | 576 CALLE CESAR GONZALEZ DORAL BANK CENTER SUITE 506
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City | SAN JUAN
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State | PR
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Zip | 00918-3756
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Country | US
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Telephone | 787-772-1007
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Fax | 787-772-1009
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICARDO JESUS REINA
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Credential | MD
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Telephone | 787-772-1007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 13805
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License Number State | PR
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