Provider Demographics
NPI:1568839280
Name:REYES, NOELIS ISABEL (THL)
Entity Type:Individual
Prefix:
First Name:NOELIS
Middle Name:ISABEL
Last Name:REYES
Suffix:
Gender:F
Credentials:THL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3157
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-3157
Mailing Address - Country:US
Mailing Address - Phone:787-363-0922
Mailing Address - Fax:
Practice Address - Street 1:B5B URB VALLES DE MANATI
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-3157
Practice Address - Country:US
Practice Address - Phone:787-363-0922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-28
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant