Jose Luis Reyes
NPI #1235508243 in Center Hill, Florida
Provider Information
- NPI Number
- 1235508243
- Entity Type
- Organization
- Organization Name
- Jose Luis Reyes
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Sep 20, 2015
- Last Updated
- Sep 20, 2015
Practice Location
- Address
- 77 E PARK ST
- City
- Center Hill
- State
- Florida
- ZIP Code
- 33514-4629
- Phone
- (787) 221-2198
Authorized Official
- Name
- JOSE LUIS REYES, BA
- Title
- WAIVER SUPPORT COORDINATOR
- Phone
- (787) 221-2198
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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