MEDICARE: CORIN SIMONE REYES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	818156	TX

General Provider Information

NPI Number	:	1265383822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORIN SIMONE REYES

Provider Business Mailing Address
First Line	:	9342 AUTUMN SUNRISE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78254-5854
Country	:	US
Telephone Number	:	210-517-9833
Fax Number	:

Provider Business Practice Location Address
First Line	:	2318 CASTROVILLE RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78237-3520
Country	:	US
Telephone Number	:	210-433-9922
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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