Gabriela Maria Reyes-Vazquez, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8254 Issued in PR

Practice address

400 Ave Domenech Ste 606
San Juan, PR 00918-3746

Phone

(787) 358-3096

NPI assigned

Feb 11, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• C O P R Medical Group LLC

  • Ambulatory Surgical Clinic/Center
  • San Juan, PR
  • NPI 1003699851
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1336954700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 AVE WINSTON CHURCHILL APT 106",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266710",
            "telephone_number": "787-358-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE DOMENECH STE 606",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183746",
            "telephone_number": "787-358-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES-VAZQUEZ",
        "first_name": "GABRIELA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Ernesto Reyes-Ruiz, MD
• Francisco Javier Reyes-Santiago, AUD, SLP
• Giselle Marie Reyes-Sosa
• Jose Angel Reyes-Torres, PSY.D.
• Paola Michelle Reyes-Torres
• Aida L Reyes, RN BSN
• Alejandro A Reyes, PHARMACY TECHNICIAN
• Arthersy Reyes, PHD
• Brendie Naomi Reyes
• Cindy Reyes, MSW

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.