Provider Demographics
NPI:1528561248
Name:PEREZ CHIQUES, EILEEN MICHELLE (CPM)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:MICHELLE
Last Name:PEREZ CHIQUES
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 CALLE DALIA
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-7300
Mailing Address - Country:US
Mailing Address - Phone:787-531-5414
Mailing Address - Fax:
Practice Address - Street 1:11 CALLE DALIA
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979-7300
Practice Address - Country:US
Practice Address - Phone:787-531-5414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-09
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife