Provider Demographics
NPI:1255144572
Name:PEREZ SOTO, NAHIR SARI
Entity type:Individual
Prefix:
First Name:NAHIR
Middle Name:SARI
Last Name:PEREZ SOTO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 CALLE ASHFORD S STE 102
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00784-5421
Mailing Address - Country:US
Mailing Address - Phone:787-866-0337
Mailing Address - Fax:
Practice Address - Street 1:600 AVE FERNANDEZ JUNCOS APT 1219
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-3147
Practice Address - Country:US
Practice Address - Phone:787-506-1429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-30
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program