Provider Demographics
NPI:1760935662
Name:SAQUINAULA PEREZ, KAROL ELIZABETH
Entity Type:Individual
Prefix:
First Name:KAROL
Middle Name:ELIZABETH
Last Name:SAQUINAULA PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9431 53RD AVE
Mailing Address - Street 2:APT 1
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4659
Mailing Address - Country:US
Mailing Address - Phone:347-256-3562
Mailing Address - Fax:
Practice Address - Street 1:9431 53RD AVE
Practice Address - Street 2:APT 1
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4659
Practice Address - Country:US
Practice Address - Phone:347-256-3562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator