Provider Demographics
NPI:1568819274
Name:REYES VALDESPINO, ALBERTO LEANDRO SR
Entity type:Individual
Prefix:
First Name:ALBERTO
Middle Name:LEANDRO
Last Name:REYES VALDESPINO
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8721 SW 200TH TER
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-1927
Mailing Address - Country:US
Mailing Address - Phone:786-991-6306
Mailing Address - Fax:786-310-7322
Practice Address - Street 1:8721 SW 200TH TER
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-1927
Practice Address - Country:US
Practice Address - Phone:786-991-6306
Practice Address - Fax:786-310-7322
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCBHCM102383OtherFLORIDA CERTIFICATION BOARD