Provider Demographics
NPI:1043443179
Name:REYES TORRES, ELYNOEL (SOCIAL WORK)
Entity Type:Individual
Prefix:MR
First Name:ELYNOEL
Middle Name:
Last Name:REYES TORRES
Suffix:
Gender:M
Credentials:SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB JARDINES DE COAMO
Mailing Address - Street 2:CALLE-4 E -14
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769
Mailing Address - Country:US
Mailing Address - Phone:787-315-2947
Mailing Address - Fax:
Practice Address - Street 1:CALLE BALDORIOTY ALTOS DE PLAZA DEL MERCADO
Practice Address - Street 2:CUARTEL DE LA POLICIA MUNICIPAL
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769
Practice Address - Country:US
Practice Address - Phone:787-315-2947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4193990172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver