Provider Demographics
NPI:1396394169
Name:PEREZ, KARLA LYDIA (MSN)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:LYDIA
Last Name:PEREZ
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:KARLA
Other - Middle Name:L
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN,BSN
Mailing Address - Street 1:852 CALLE EIDER
Mailing Address - Street 2:COND SAN JUAN VIEW 211B
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924
Mailing Address - Country:US
Mailing Address - Phone:787-509-7095
Mailing Address - Fax:
Practice Address - Street 1:996 CALLE SAN ROBERTO,TOWER PFIZER
Practice Address - Street 2:EDIFICIO V, PROFESSIONAL OFFICE PART, SUITE 301
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-641-9133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR73681163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health