Doctor Name: | MISS AWILDA PEREZ |
NPI Number: | 1568681724 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 306 |
Business Practice Address: | Ave Periferal G 10 Trujillo Alto, PR - 009762104 |
Business Phone Number: | 7877608405 |
Business Fax Number: | 7877608405 |
Mailing Address: | Po Box 20897, SAN JUAN |
State: | PR |
Postal Code: | 009280897 |
Phone Number: | 7877608405 |
Fax Number: | 7877608405 |
NPI Enumeration Date: | 04/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 306 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |