| Doctor Name: | DR. ISAURA PEREZ |
| NPI Number: | 1639488158 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 3620 |
| Business Practice Address: | 3 Street. B-6 Urb. Paisaje Del Rio Luquillo, PR - 00773 |
| Business Phone Number: | 7874775050 |
| Business Fax Number: | |
| Mailing Address: | Buganvilla R617, Urb Loiza Valley CANOVANAS |
| State: | PR |
| Postal Code: | 00729 |
| Phone Number: | 7874775050 |
| Fax Number: | |
| NPI Enumeration Date: | 10/01/2010 |
| NPI Last Update Date: | 10/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3620 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |