Provider Demographics
NPI:1710462973
Name:REYES, ARTHERSY (PHD)
Entity Type:Individual
Prefix:
First Name:ARTHERSY
Middle Name:
Last Name:REYES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:ARTHERSY
Other - Middle Name:
Other - Last Name:REYES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:69 CONDOMINIO ALTO MONTE
Mailing Address - Street 2:CARR 842
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-605-7151
Mailing Address - Fax:
Practice Address - Street 1:69 COND ALTO MONTE APT
Practice Address - Street 2:CARR 842
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-605-7151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4172103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical