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NPI Code Detail

MEDICARE: CRISTINA PAOLA REYES PSYD

MEDICARE: CRISTINA PAOLA REYES PSYD
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
1103TC0700XClinical Psychologist6689PR

General Provider Information

NPI Number : 1942984034
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTINA PAOLA REYES PSYD
Provider Business Mailing Address
First Line : PO BOX 924
Second Line :
City : BARCELONETA
State : PR
Zip : 00617-0924
Country : US
Telephone Number : 787-503-8889
Fax Number :
Provider Business Practice Location Address
First Line : 1808 AVE DEL VALLE
Second Line :
City : TOA BAJA
State : PR
Zip : 00949-3901
Country : US
Telephone Number : 787-503-8889
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2023
Last Update Date : 06/09/2023

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