Provider Demographics
NPI:1902038235
Name:PEREZ, USHINA (BSW)
Entity Type:Individual
Prefix:
First Name:USHINA
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13219 44TH PL N
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-8418
Mailing Address - Country:US
Mailing Address - Phone:954-591-1025
Mailing Address - Fax:561-795-3071
Practice Address - Street 1:13219 44TH PL N
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-8418
Practice Address - Country:US
Practice Address - Phone:954-591-1025
Practice Address - Fax:561-795-3071
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker