Provider Demographics
NPI:1205579620
Name:PEREZ, YADIRA AMERICA
Entity type:Individual
Prefix:
First Name:YADIRA
Middle Name:AMERICA
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 1:1724 BELINDA DR
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78599-3011
Mailing Address - Country:US
Mailing Address - Phone:956-821-1923
Mailing Address - Fax:
Practice Address - Street 1:1002 W SAM HOUSTON BLVD
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-5224
Practice Address - Country:US
Practice Address - Phone:210-698-9841
Practice Address - Fax:210-698-9863
Is Sole Proprietor?:No
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAPRN1048849363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology