Provider Demographics
NPI:1639744535
Name:HERNANDEZ REYES, LAURA CRISTAL
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:CRISTAL
Last Name:HERNANDEZ REYES
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:KM HM 7.3 CARR 153 PLAZA SANTA ISABEL
Mailing Address - Street 2:LOCAL 15, BO. JAUCA II
Mailing Address - City:SANTA ISABEL
Mailing Address - State:PR
Mailing Address - Zip Code:00757
Mailing Address - Country:US
Mailing Address - Phone:939-222-7598
Mailing Address - Fax:
Practice Address - Street 1:KM HM 7.3 CARR 153 PLAZA SANTA ISABEL
Practice Address - Street 2:LOCAL 15 B, BO JAUCA II
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757
Practice Address - Country:US
Practice Address - Phone:939-222-7598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-24
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6649103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty