IndividualActive
Andrew De Los Reyes, IDMT
NPI 1821572561 · Independent Duty Medical Technicians · Goodfellow Afb, TX
Provider details
- NPI number
- 1821572561
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
271 Fort Richardson Ave Bldg 1001
Goodfellow Afb, TX 76908-4901
Phone: (325) 654-1484
Approximate (ZIP-level) locationGet directions
Mailing address
3488 Garden Ave
San Antonio, TX 78234
Registry dates
- Enumerated
- 2018-09-19
- Last updated
- 2018-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.