Provider Demographics
NPI:1457872582
Name:PEREZ, LAIGIN PATRICIA
Entity type:Individual
Prefix:
First Name:LAIGIN
Middle Name:PATRICIA
Last Name:PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAIGIN
Other - Middle Name:PATRICIA
Other - Last Name:CHARINGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8254 SW 197TH TER
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-2028
Mailing Address - Country:US
Mailing Address - Phone:305-609-3438
Mailing Address - Fax:
Practice Address - Street 1:8001 OLD CUTLER RD # 653
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-6750
Practice Address - Country:US
Practice Address - Phone:305-791-2713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-28
Last Update Date:2017-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst