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NPI Code Detail

MEDICARE: MRS. ALEXANDRA REYES LND, RD

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
1133NN1002XNutrition Education Nutritionist1250PR

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 : H17 A VILLA DEL CARMEN MUNOZ MARIN AVE
Second Line : NUTRITION SERVICES OFFICE
City : CAGUAS
State : PR
Zip : 00725
Country : US
Telephone Number : 787-758-2000
Fax Number :
Provider Business Practice Location Address
First Line : 1715 AVE PONCE DE LEON
Second Line : NUTRITION DEPARTMENT
City : SAN JUAN
State : PR
Zip : 00909-1958
Country : US
Telephone Number : 787-758-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2008
Last Update Date : 07/26/2012

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