Provider Demographics
NPI:1700129103
Name:PEREZ, ZULMA
Entity Type:Individual
Prefix:
First Name:ZULMA
Middle Name:
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 1:3029 N HUTCHINSON ST
Mailing Address - Street 2:APT A
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19133-1823
Mailing Address - Country:US
Mailing Address - Phone:954-822-7519
Mailing Address - Fax:
Practice Address - Street 1:3029 N HUTCHINSON ST
Practice Address - Street 2:APT A
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19133-1823
Practice Address - Country:US
Practice Address - Phone:954-822-7519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN645194163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse