Provider Demographics
NPI:1083111983
Name:REYES THERAPY SERVICES, CORP
Entity Type:Organization
Organization Name:REYES THERAPY SERVICES, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YISEL
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES YERO
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:305-615-9223
Mailing Address - Street 1:1476 N HOMESTEAD BLVD
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-5008
Mailing Address - Country:US
Mailing Address - Phone:305-615-9223
Mailing Address - Fax:
Practice Address - Street 1:1476 N HOMESTEAD BLVD
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-5008
Practice Address - Country:US
Practice Address - Phone:305-615-9223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-09
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech