Provider Demographics
NPI:1700149093
Name:AMARO PEREZ, LOYDA (NURSE)
Entity Type:Individual
Prefix:MS
First Name:LOYDA
Middle Name:
Last Name:AMARO PEREZ
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COLONIA SANTA MARIA
Mailing Address - Street 2:CARR #3 KM 52.7
Mailing Address - City:CEIBA
Mailing Address - State:PR
Mailing Address - Zip Code:00735
Mailing Address - Country:US
Mailing Address - Phone:787-435-9477
Mailing Address - Fax:
Practice Address - Street 1:COLONIA SANTA MARIA
Practice Address - Street 2:CARR #3 KM 52.7
Practice Address - City:CEIBA
Practice Address - State:PR
Practice Address - Zip Code:00735
Practice Address - Country:US
Practice Address - Phone:787-435-9477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13881163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse