Provider Demographics
NPI:1174961569
Name:REYES PHARMACY
Entity type:Organization
Organization Name:REYES PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY TECHNICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-782-6403
Mailing Address - Street 1:1430 COND PUERTA DEL PARQUE
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-3143
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1320 AVE SAN ALFONSO
Practice Address - Street 2:SANTIAGO IGL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3621
Practice Address - Country:US
Practice Address - Phone:787-782-6403
Practice Address - Fax:787-782-0630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8951183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183700000XPharmacy Service ProvidersPharmacy TechnicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR8951OtherPUERTO RICO HEALTH DEPT PHARMACY TECH REGISTRATION