Individual provider Active NPI

Christian Louis Reyes Reyes, PSY.D.

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1366332108
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
008516 Issued in PR
Practice address
2431 Blvd. Luis a. Ferre
Edificio a. Porrata Pila Suite 205
Ponce, PR 00717-2115
Phone
(787) 848-5050
NPI assigned
Jul 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 008516 PR Primary

Addresses

Primary practice location

2431 Blvd. Luis a. Ferre
Edificio a. Porrata Pila Suite 205
Ponce, PR 00717-2115

Mailing address

Urb. Perla del Sur
4449 Calle Pedro M. Caratini
Ponce, PR 00717
Phone (787) 408-1360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251202003708 PR Practitioner - Clinical Psychologist 3375036973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Ponce, PR 00732

PO Box
Suite 7004
Ponce, PR 00732-7004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008516PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiber Health, Public Benefit Corporation CurrentSince Oct 1, 2025 Accepting new patients
Tiber Health, Public Benefit Corporation Clinical CurrentSince Oct 1, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1366332108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. PERLA DEL SUR",
            "address_2": "4449 CALLE PEDRO M. CARATINI",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-408-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 BLVD. LUIS A. FERRE",
            "address_2": "EDIFICIO A. PORRATA PILA SUITE 205",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172115",
            "telephone_number": "787-848-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES REYES",
        "first_name": "CHRISTIAN",
        "middle_name": "LOUIS",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "008516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.