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NPI Code Detail

MEDICARE: DR. REINALDO A DELIZ DMD

MEDICARE:  DR. REINALDO A DELIZ  DMD
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
1122300000XDentist1211PR
2122300000XDentist17409TX

General Provider Information

NPI Number : 1700887080
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REINALDO A DELIZ DMD
Provider Business Mailing Address
First Line : PO BOX 3295
Second Line :
City : MAYAGUEZ
State : PR
Zip : 00681-3295
Country : US
Telephone Number : 787-834-7777
Fax Number : 787-834-3006
Provider Business Practice Location Address
First Line : 2599 AVE HOSTOS
Second Line : SUITE #2
City : MAYAGUEZ
State : PR
Zip : 00682-6400
Country : US
Telephone Number : 787-834-7777
Fax Number : 787-834-3006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 03/18/2013

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Directions to “ DR. REINALDO A DELIZ DMD” Practice Location

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