Provider Demographics
NPI:1841525334
Name:REINALDO DE LOS HEROS, M.D., P.A.
Entity type:Organization
Organization Name:REINALDO DE LOS HEROS, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:REINALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LOS HEROS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:207-780-1600
Mailing Address - Street 1:367 US ROUTE 1
Mailing Address - Street 2:SUITE 3-1
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-1350
Mailing Address - Country:US
Mailing Address - Phone:207-780-1600
Mailing Address - Fax:207-780-1608
Practice Address - Street 1:367 US ROUTE 1
Practice Address - Street 2:SUITE 3-1
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1350
Practice Address - Country:US
Practice Address - Phone:207-780-1600
Practice Address - Fax:207-780-1608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-16
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty