Provider Demographics
NPI:1396878252
Name:REYES, ADOLFO (LMSW-IPR)
Entity type:Individual
Prefix:
First Name:ADOLFO
Middle Name:
Last Name:REYES
Suffix:
Gender:M
Credentials:LMSW-IPR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 KENDLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2673
Mailing Address - Country:US
Mailing Address - Phone:956-457-3793
Mailing Address - Fax:
Practice Address - Street 1:700 KENDLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2673
Practice Address - Country:US
Practice Address - Phone:956-457-3793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator