Provider Demographics
NPI:1841542511
Name:GARCIA REYES, NOEMI (PSYD)
Entity type:Individual
Prefix:
First Name:NOEMI
Middle Name:
Last Name:GARCIA REYES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 AVE MUNOZ RIVERA APT 709
Mailing Address - Street 2:COND. DARLINGTON
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00925-2723
Mailing Address - Country:US
Mailing Address - Phone:787-548-4560
Mailing Address - Fax:
Practice Address - Street 1:1007 AVE MUNOZ RIVERA APT 709
Practice Address - Street 2:COND. DARLINGTON
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925-2723
Practice Address - Country:US
Practice Address - Phone:787-548-4560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4118103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical