MEDICARE: MRS. ALEXANDRA REYES LND, RD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133NN1002X	Nutrition Education Nutritionist	1250	PR

General Provider Information

NPI Number	:	1689832073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALEXANDRA REYES LND, RD

Provider Business Mailing Address
First Line	:	105 ROAD 21 KM 0.8 MONACILLO WARD
Second Line	:	FIRST FLOOR FORWARD CENTER
City	:	SAN JUAN
State	:	PR
Zip	:	00927
Country	:	US
Telephone Number	:	939-237-4793
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 ROAD 21 KM 0.8 MONACILLO WARD
Second Line	:	FIRST FLOOR FORWARD CENTER
City	:	SAN JUAN
State	:	PR
Zip	:	00927
Country	:	US
Telephone Number	:	939-237-4793
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2008
Last Update Date	:	05/15/2026

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