Provider Demographics
NPI:1790538932
Name:REYES-DELGADO, GABRIELA (DC)
Entity Type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:
Last Name:REYES-DELGADO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2157 LAKE PARK DR SE APT E
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-8802
Mailing Address - Country:US
Mailing Address - Phone:787-816-2301
Mailing Address - Fax:
Practice Address - Street 1:3163 SHALLOWFORD RD NE
Practice Address - Street 2:
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-3630
Practice Address - Country:US
Practice Address - Phone:404-383-5815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR011127111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor