Provider Demographics
NPI:1457719700
Name:PEREZ TORRES, KARIN JANET (MHS, CATIV)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:JANET
Last Name:PEREZ TORRES
Suffix:
Gender:F
Credentials:MHS, CATIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33-12 CALLE 26
Mailing Address - Street 2:URB SANTA ROSA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-454-1304
Mailing Address - Fax:
Practice Address - Street 1:17 CALLE 2 STE 520
Practice Address - Street 2:METRO OFFICE PARK
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-1750
Practice Address - Country:US
Practice Address - Phone:787-622-9797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-02
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR101YA0400X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)