Provider Demographics
NPI:1629494448
Name:REYES, GABRIELA (MA)
Entity Type:Individual
Prefix:MRS
First Name:GABRIELA
Middle Name:
Last Name:REYES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4903 LA BARRANCA ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233-5903
Mailing Address - Country:US
Mailing Address - Phone:210-836-6257
Mailing Address - Fax:
Practice Address - Street 1:4903 LA BARRANCA ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-5903
Practice Address - Country:US
Practice Address - Phone:210-836-6257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care