Rafael Reyes, SA-C
Specialist/Technologist, Other, Surgical Assistant in Jamaica, NY. Individual provider (NPI-1).
NPI number1144792854
StatusActive
Last updated in NPPESDec 19, 2018
Details
- NPI
- 1144792854
- Entity type
- Individual (NPI-1)
- Name
- Rafael Reyes
- Credential
- SA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 19, 2018
- Last updated
- Dec 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 18-383 | NY | Yes |
Practice location
14809 88th Ave Apt 2aJamaica, NY 11435-3424
Phone 646-301-0819
Mailing address
14809 88th Ave Apt 2aJamaica, NY 11435-3424
Phone 646-301-0819
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