Provider Demographics
NPI:1518789742
Name:REYES, ARMANDO RAFAEL (PSYD)
Entity type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:RAFAEL
Last Name: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 MANSIONES DE JUNCOS
Mailing Address - Street 2:36 CALLE EUCALIPTO
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777
Mailing Address - Country:US
Mailing Address - Phone:787-547-3620
Mailing Address - Fax:
Practice Address - Street 1:URB MANSIONES DE JUNCOS
Practice Address - Street 2:36 CALLE EUCALIPTO
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777
Practice Address - Country:US
Practice Address - Phone:787-547-3620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7420103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist