Provider Demographics
NPI:1669807624
Name:PEREIRA, ALIRIO PEREIRA MENDES (MA)
Entity type:Individual
Prefix:MR
First Name:ALIRIO PEREIRA
Middle Name:MENDES
Last Name:PEREIRA
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1046 CAMBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-1407
Mailing Address - Country:US
Mailing Address - Phone:617-864-7600
Mailing Address - Fax:617-864-7621
Practice Address - Street 1:1046 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-1407
Practice Address - Country:US
Practice Address - Phone:617-864-7600
Practice Address - Fax:617-864-7621
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker