Provider Demographics
NPI:1215611637
Name:ADORNO REYES, OMAYRA (MSW)
Entity type:Individual
Prefix:MRS
First Name:OMAYRA
Middle Name:
Last Name:ADORNO REYES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:JARD DE DORADO
Mailing Address - Street 2:A3 CALLE AZUCENAS
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-5102
Mailing Address - Country:US
Mailing Address - Phone:787-367-9157
Mailing Address - Fax:
Practice Address - Street 1:JARD DE DORADO
Practice Address - Street 2:A3 CALLE AZUCENAS
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-5102
Practice Address - Country:US
Practice Address - Phone:787-367-9157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR147671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical