Provider Demographics
NPI:1972797249
Name:PEREZ, IRMA E
Entity Type:Individual
Prefix:
First Name:IRMA
Middle Name:E
Last Name: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:CALLE VICTORIA
Mailing Address - Street 2:NUMERO 231
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00731
Mailing Address - Country:US
Mailing Address - Phone:787-842-6646
Mailing Address - Fax:787-840-7761
Practice Address - Street 1:BARRIO MACHUELO
Practice Address - Street 2:CARRETERA 14
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00731
Practice Address - Country:US
Practice Address - Phone:787-842-6646
Practice Address - Fax:787-840-7761
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2007-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator