Provider Demographics
NPI:1093084840
Name:PEREZ, ESTHER MARIE
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:MARIE
Last Name:PEREZ
Suffix:
Gender:F
Credentials:
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 471
Mailing Address - Street 2:
Mailing Address - City:GARROCHALES
Mailing Address - State:PR
Mailing Address - Zip Code:00652-0471
Mailing Address - Country:US
Mailing Address - Phone:787-992-4400
Mailing Address - Fax:787-569-4400
Practice Address - Street 1:CARR. 682 KM 6.7
Practice Address - Street 2:BO. GARRROCHALES
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-992-4400
Practice Address - Fax:787-569-4400
Is Sole Proprietor?:No
Enumeration Date:2011-12-23
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5167183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist