| Organization Name: | TULLA PEREZ INC |
| NPI Number: | 1356774897 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARITZA IVONNE PEREZ (PRESIDENT) |
| Mailing Address: | 39 Pine St New Canaan |
| State: | CT US |
| Postal Code: | 068405409 |
| Phone Number: | 2039727546 |
| Fax Number: | 2039725937 |
| NPI Enumeration Date: | 08/20/2013 |
| NPI Last Update Date: | 09/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 27844 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |