| Doctor Name: | LUDITZA PEREZ |
| NPI Number: | 1134477755 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 4311 |
| Business Practice Address: | Carretera 115 Km 22 4 Barrio Guayabo Sector Casualidad Aguada, PR - 006020000 |
| Business Phone Number: | 7873121854 |
| Business Fax Number: | 7875517316 |
| Mailing Address: | Po Box 1308, AGUADA |
| State: | PR |
| Postal Code: | 006021308 |
| Phone Number: | 7875088259 |
| Fax Number: | 7878684720 |
| NPI Enumeration Date: | 08/29/2012 |
| NPI Last Update Date: | 01/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0000X |
| License Number: | 4311 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |