Provider Demographics
NPI:1144955808
Name:TOMASSINI REYES, KARINA (MS)
Entity type:Individual
Prefix:MS
First Name:KARINA
Middle Name:
Last Name:TOMASSINI REYES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 CALLE CALAF
Mailing Address - Street 2:POBOX 190752 SAN JUAN PUERTO RICO 00919-0752
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919
Mailing Address - Country:US
Mailing Address - Phone:787-454-6213
Mailing Address - Fax:
Practice Address - Street 1:361 CALLE CALAF SAN JUAN, PR 00919-0752
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00919-0752
Practice Address - Country:US
Practice Address - Phone:787-454-6213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling