Provider Demographics
NPI:1356160428
Name:REYNA, SYLVIA SIERRA (RN)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:SIERRA
Last Name:REYNA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4605 RED ROCK PASS
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-1123
Mailing Address - Country:US
Mailing Address - Phone:210-527-7857
Mailing Address - Fax:
Practice Address - Street 1:4605 RED ROCK PASS
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-1123
Practice Address - Country:US
Practice Address - Phone:210-428-1805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX602258171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator