Doctor Name: | KATHERINE PEREZ BURGOS |
NPI Number: | 1164487427 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 14762 |
Business Practice Address: | Calle Celis Aguilera B 12 Santa Isabel, PR - 00757 |
Business Phone Number: | 7878455640 |
Business Fax Number: | 7878455640 |
Mailing Address: | J12 Calle Escada, Urb.la Quinta YAUCO |
State: | PR |
Postal Code: | 006984114 |
Phone Number: | 7874577769 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2006 |
NPI Last Update Date: | 06/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14762 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |