Provider Demographics
NPI:1558345900
Name:PEREZ CUADRADO, FRANCIS REYNALDO (PH D)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:REYNALDO
Last Name:PEREZ CUADRADO
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RIBERAS DEL RIO GARDENS
Mailing Address - Street 2:APT 304-B
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-272-0422
Mailing Address - Fax:
Practice Address - Street 1:1801 AVE PONCE DE LEON
Practice Address - Street 2:OFIC 311
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00909
Practice Address - Country:US
Practice Address - Phone:787-727-2424
Practice Address - Fax:787-727-2424
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR002497103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical