MEDICARE: LAURA C ATIENZA-REYES M.D.

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	207R00000X	Internal Medicine Physician	266579	MA
2	207RI0200X	Infectious Disease Physician	20573	PR

General Provider Information

NPI Number	:	1710299318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA C ATIENZA-REYES M.D.

Provider Business Mailing Address
First Line	:	PO BOX 956
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00960-0956
Country	:	US
Telephone Number	:	787-552-1154
Fax Number	:

Provider Business Practice Location Address
First Line	:	BAYAMON MEDICAL CENTER
Second Line	:	KM 11.7, PR-2
City	:	BAYAMON
State	:	PR
Zip	:	00959
Country	:	US
Telephone Number	:	787-620-8181
Fax Number	:

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

Provider Enumeration Date	:	07/12/2010
Last Update Date	:	01/11/2024

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