Provider Demographics
NPI:1952631152
Name:PEREZ HERNANDEZ, KAREN (PT)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:PEREZ HERNANDEZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7004
Mailing Address - Street 2:PMB 181
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-9004
Mailing Address - Country:US
Mailing Address - Phone:787-366-7058
Mailing Address - Fax:
Practice Address - Street 1:BARRIO SONADOR SECTOR LOS RAMOS CARR. 497 KM2.3
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-9865
Practice Address - Country:US
Practice Address - Phone:787-366-7058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-11
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1275225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist