Provider Demographics
NPI:1184080558
Name:PEREZ SANTANA, FRANCES (PSYD)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:PEREZ SANTANA
Suffix:
Gender:F
Credentials:PSYD
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 50773
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00950-0773
Mailing Address - Country:US
Mailing Address - Phone:787-602-2774
Mailing Address - Fax:
Practice Address - Street 1:37 CALLE RAFAEL CORDERO
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3753
Practice Address - Country:US
Practice Address - Phone:787-602-2774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-14
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3629103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical