Individual
AXEL DAVID REYES VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55E CALLE SALMON, PONCE, PR 00716-8112
(787) 374-8390
Mailing address
IDAMARIS GARDENS CALLE JUAN M MORALES L-19, CAGUAS, PR 00727
(787) 374-8390
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7598
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/18/2020
Last updated
07/25/2025
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