Provider Demographics
NPI:1679382329
Name:REYES, DIEGO ALEXANDER (SPANISH INTERPRETER)
Entity type:Individual
Prefix:
First Name:DIEGO
Middle Name:ALEXANDER
Last Name:REYES
Suffix:
Gender:M
Credentials:SPANISH INTERPRETER
Other - Prefix:
Other - First Name:DIEGO
Other - Middle Name:ALEXANDER
Other - Last Name:REYES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SPANISH INTERPRETER
Mailing Address - Street 1:22001 100TH ST E APT P307
Mailing Address - Street 2:
Mailing Address - City:BONNEY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98391-5012
Mailing Address - Country:US
Mailing Address - Phone:509-439-8607
Mailing Address - Fax:
Practice Address - Street 1:22001 100TH ST E APT P307
Practice Address - Street 2:
Practice Address - City:BONNEY LAKE
Practice Address - State:WA
Practice Address - Zip Code:98391-5012
Practice Address - Country:US
Practice Address - Phone:509-439-8607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA12523171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter