Basic Information
| Provider Information | |||||||||
| NPI: | 1609943596 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | REYES | ||||||||
| FirstName: | AIMEE | ||||||||
| MiddleName: | DEL CARMEN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BPX | ||||||||
| Address2: | 6479 | ||||||||
| City: | CAGUAS | ||||||||
| State: | PR | ||||||||
| PostalCode: | 007266479 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7876533100 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | HIMA SAN PABLO CAGUAS HOSPITAL | ||||||||
| Address2: | AVE LUIS MUNOZ MARIN | ||||||||
| City: | CAGUAS | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00725 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7876533434 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/29/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | 8480 | PR | Y | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.