Provider Demographics
NPI:1972700730
Name:SANTOS REYES, LUIS JAVIER (MD)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:JAVIER
Last Name:SANTOS REYES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1500 JARDINES DE MONTEHIEDRA
Mailing Address - Street 2:APARTMENT 1210
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-407-3797
Mailing Address - Fax:
Practice Address - Street 1:AVE. PONCE DE LEON #735
Practice Address - Street 2:HOSP. AUXILIO MUTUO, CENTRO DE CANCER
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00917-5029
Practice Address - Country:US
Practice Address - Phone:787-758-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR15022207VX0201X
CAA84598207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology