Provider Demographics
NPI:1811243322
Name:LAFLEUR, REGINALD (MD, PHARM D)
Entity type:Individual
Prefix:DR
First Name:REGINALD
Middle Name:
Last Name:LAFLEUR
Suffix:
Gender:M
Credentials:MD, PHARM D
Other - Prefix:DR
Other - First Name:REGINALD
Other - Middle Name:
Other - Last Name:LAFLEUR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD/PHARM D
Mailing Address - Street 1:10 CALLE CASIA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-3200
Mailing Address - Country:US
Mailing Address - Phone:787-641-7582
Mailing Address - Fax:
Practice Address - Street 1:10 CALLE CASIA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3200
Practice Address - Country:US
Practice Address - Phone:787-641-7582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-02
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40796183500000X
NY0552061183500000X
NYP02546208D00000X
NY320569-01390200000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No183500000XPharmacy Service ProvidersPharmacist
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program