Provider Demographics
NPI:1881136240
Name:PEREZ JIMENEZ, ANABEL
Entity type:Individual
Prefix:MISS
First Name:ANABEL
Middle Name:
Last Name:PEREZ JIMENEZ
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:RR-1 BOX 10346
Mailing Address - Street 2:
Mailing Address - City:OROCOVIS
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00720
Mailing Address - Country:AX
Mailing Address - Phone:787-228-5697
Mailing Address - Fax:
Practice Address - Street 1:RR-1 BOX 10346
Practice Address - Street 2:
Practice Address - City:OROCOVIS
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00720
Practice Address - Country:AX
Practice Address - Phone:787-228-5697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR50932355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant