Healthcare Provider Details

I. General information

NPI: 1699682377
Provider Name (Legal Business Name): ALEJANDRA FUENTES REYNOSO PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 ROGGE RD
SALINAS CA
93906-1399
US

IV. Provider business mailing address

9271 CAMPO DE CASA DR
CASTROVILLE CA
95012-9611
US

V. Phone/Fax

Practice location:
  • Phone: 831-443-7216
  • Fax: 831-443-9539
Mailing address:
  • Phone: 831-206-9952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: