Provider Demographics
NPI:1093590572
Name:PEREZ MALIK, HALI S
Entity Type:Individual
Prefix:
First Name:HALI
Middle Name:S
Last Name:PEREZ MALIK
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:HC 2 BOX 1877
Mailing Address - Street 2:
Mailing Address - City:BOQUERON
Mailing Address - State:PR
Mailing Address - Zip Code:00622-9308
Mailing Address - Country:US
Mailing Address - Phone:787-514-6117
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL SCIENCES CAMPUS DR. GUILLERMO ARBONA BUILDING
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-5067
Practice Address - Country:US
Practice Address - Phone:787-758-2525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program