Reymunde, Alvaro G

Reymunde, Alvaro G is an individual health care provider with primary practice located at 451 3Rd Ave Ste 1 , Kingston PA 18704-5802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Reymunde, Alvaro G can be contacted via phone (570) 288-6543.

Contact Information

Primary practice address
451 3Rd Ave Ste 1 Kingston PA 18704-5802
Phone: (570) 288-6543
Fax: (570) 288-7130
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 28434R Puerto Rico
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD452724 Pennsylvania

Profile Details

NPI number 1497012132
LBN Legal business name Reymunde, Alvaro G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2012
Last updated Aug 23rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497012132 NPPES
Pennsylvania MEDICAID 102960814

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