Provider Demographics
NPI:1588918106
Name:REYES-HARMON, CRISTINA (MS)
Entity type:Individual
Prefix:MS
First Name:CRISTINA
Middle Name:
Last Name:REYES-HARMON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 CRESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-2404
Mailing Address - Country:US
Mailing Address - Phone:646-528-8388
Mailing Address - Fax:
Practice Address - Street 1:107 CRESTWOOD DR
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-2404
Practice Address - Country:US
Practice Address - Phone:646-528-8388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-05
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator