Provider Demographics
NPI:1063277200
Name:REYES FLORES, JOSEAN GABRIEL
Entity type:Individual
Prefix:
First Name:JOSEAN
Middle Name:GABRIEL
Last Name:REYES FLORES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 EXT VISTAS DE CAMUY
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-2944
Mailing Address - Country:US
Mailing Address - Phone:787-223-9289
Mailing Address - Fax:
Practice Address - Street 1:365 EXT VISTAS DE CAMUY
Practice Address - Street 2:
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627-2944
Practice Address - Country:US
Practice Address - Phone:787-223-9289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-16
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program