Provider Demographics
NPI:1164883591
Name:PEREZ, FRANCISCO (MA/ PPS)
Entity Type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:
Last Name:PEREZ
Suffix:
Gender:M
Credentials:MA/ PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:496 N 17TH ST UNIT 3
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-1700
Mailing Address - Country:US
Mailing Address - Phone:408-387-0400
Mailing Address - Fax:
Practice Address - Street 1:496 N 17TH ST UNIT 3
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-1700
Practice Address - Country:US
Practice Address - Phone:408-387-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-13
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor