Provider Demographics
NPI:1275801151
Name:LI OBJIO, PERLA F (PSYD)
Entity Type:Individual
Prefix:DR
First Name:PERLA
Middle Name:F
Last Name:LI OBJIO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND. 6 GARDEN VIEW
Mailing Address - Street 2:APT. 86
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985
Mailing Address - Country:US
Mailing Address - Phone:787-525-3570
Mailing Address - Fax:815-301-3039
Practice Address - Street 1:16-34 AVE. AGUAS BUENAS,
Practice Address - Street 2:SANTA ROSA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-525-3570
Practice Address - Fax:815-301-3039
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-07
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4009103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical