Provider Demographics
NPI:1093861304
Name:PEREZ, HECTOR MANUEL (PSYCHOLOGY)
Entity Type:Individual
Prefix:MR
First Name:HECTOR
Middle Name:MANUEL
Last Name:PEREZ
Suffix:
Gender:M
Credentials:PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:D12 CALLE BUEN SAMARITANO
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-2025
Mailing Address - Country:US
Mailing Address - Phone:787-783-0610
Mailing Address - Fax:787-783-0686
Practice Address - Street 1:D12 CALLE BUEN SAMARITANO
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-2025
Practice Address - Country:US
Practice Address - Phone:787-783-0610
Practice Address - Fax:787-783-0686
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2202103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist