Provider Demographics
NPI:1366332108
Name:REYES REYES, CHRISTIAN LOUIS (PSYD)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:LOUIS
Last Name:REYES REYES
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. PERLA DEL SUR
Mailing Address - Street 2:4449 CALLE PEDRO M. CARATINI
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717
Mailing Address - Country:US
Mailing Address - Phone:787-408-1360
Mailing Address - Fax:
Practice Address - Street 1:2431 BLVD. LUIS A. FERRE
Practice Address - Street 2:EDIFICIO A. PORRATA PILA SUITE 205
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2115
Practice Address - Country:US
Practice Address - Phone:787-848-5050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR008516103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical