Provider Demographics
NPI:1831905884
Name:REYNA, DANIELA SARAHI
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:SARAHI
Last Name:REYNA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 WAGON WHEEL RD
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-0485
Mailing Address - Country:US
Mailing Address - Phone:830-308-0017
Mailing Address - Fax:
Practice Address - Street 1:611 WAGON WHEEL RD
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-0485
Practice Address - Country:US
Practice Address - Phone:830-308-0017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1125214163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse