Provider Demographics
NPI:1144773771
Name:PEREZ-VALENTIN, ABRAHAM (MCR, PVE)
Entity Type:Individual
Prefix:PROF
First Name:ABRAHAM
Middle Name:
Last Name:PEREZ-VALENTIN
Suffix:
Gender:M
Credentials:MCR, PVE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 26003
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-8334
Mailing Address - Country:US
Mailing Address - Phone:787-236-6010
Mailing Address - Fax:
Practice Address - Street 1:HC 3 BOX 26003
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-8334
Practice Address - Country:US
Practice Address - Phone:787-236-6010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-01
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR682101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor