Provider Demographics
NPI:1033323407
Name:PEREZ, NORMA I (MSW)
Entity Type:Individual
Prefix:PROF
First Name:NORMA
Middle Name:I
Last Name:PEREZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2398
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-2398
Mailing Address - Country:US
Mailing Address - Phone:787-690-4091
Mailing Address - Fax:
Practice Address - Street 1:RD.PR#2 COND . LAS TORRES NORTE
Practice Address - Street 2:E-3
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960-2398
Practice Address - Country:US
Practice Address - Phone:787-690-4091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR34391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR117167000OtherPROVIDERNUMBER