| Doctor Name: | ROSA MARIA PERALTA |
| NPI Number: | 1154580629 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | NP17863 |
| Business Practice Address: | One Indian Hill Rd Winterhaven, CA - 92283 |
| Business Phone Number: | 7605724105 |
| Business Fax Number: | 7605722133 |
| Mailing Address: | Po Box 1368, YUMA |
| State: | AZ |
| Postal Code: | 853661368 |
| Phone Number: | 7605724105 |
| Fax Number: | 7605722133 |
| NPI Enumeration Date: | 06/09/2008 |
| NPI Last Update Date: | 11/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP17863 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |