Provider Demographics
NPI:1699033720
Name:PEREZ, HECTOR E (MEDICAL TECHNOLOGYST)
Entity Type:Individual
Prefix:MR
First Name:HECTOR
Middle Name:E
Last Name:PEREZ
Suffix:
Gender:M
Credentials:MEDICAL TECHNOLOGYST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:572 CALLE FERRARA
Mailing Address - Street 2:VILLA CAPRI
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-4047
Mailing Address - Country:US
Mailing Address - Phone:787-293-3870
Mailing Address - Fax:
Practice Address - Street 1:ROAD #3 KM. 49.7
Practice Address - Street 2:MONTE SOL SHOPPING CENTER SUITE 106
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-801-8181
Practice Address - Fax:787-801-8181
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-26
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2018246RM2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory