Provider Demographics
NPI:1407835804
Name:PEROCIER, CAMILLE AQUIRRE (MD)
Entity Type:Individual
Prefix:MRS
First Name:CAMILLE
Middle Name:AQUIRRE
Last Name:PEROCIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 C GONZALEZ ST
Mailing Address - Street 2:APT 2302 CONDOMINIO PARQUE DE LAS FUENTES
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-3906
Mailing Address - Country:US
Mailing Address - Phone:787-282-7271
Mailing Address - Fax:787-764-9349
Practice Address - Street 1:SAN PATRICIO MENTAL HEALTH CENTER
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00928-1414
Practice Address - Country:US
Practice Address - Phone:787-749-9836
Practice Address - Fax:787-793-1887
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR30102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CL82727OtherASSMCA
P88591OtherTRIPLE S
CL82727OtherASSMCA
H82204Medicare UPIN