Provider Demographics
NPI:1609620459
Name:PEREZ, CECILIA (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1190 LATIGO BLVD
Mailing Address - Street 2:
Mailing Address - City:PIPE CREEK
Mailing Address - State:TX
Mailing Address - Zip Code:78063-6689
Mailing Address - Country:US
Mailing Address - Phone:830-688-1102
Mailing Address - Fax:
Practice Address - Street 1:4318 DEZAVALA RD
Practice Address - Street 2:SUITE 403
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249
Practice Address - Country:US
Practice Address - Phone:210-253-3426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1153164363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner