Provider Demographics
NPI:1922632660
Name:PEREZ, YAMILEDI (OTL)
Entity Type:Individual
Prefix:MRS
First Name:YAMILEDI
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:OTL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33-5 CALLE 31
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-4365
Mailing Address - Country:US
Mailing Address - Phone:787-934-3675
Mailing Address - Fax:
Practice Address - Street 1:55 CALLE ESTEBAN PADILLA STE 2A
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6700
Practice Address - Country:US
Practice Address - Phone:787-951-7722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-02
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1250225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist