Individual
DR. JEANNETH ALINA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
STREET 4 MARIA DEL CARMEN H 5, COROZAL, PR 00783-0000
(787) 246-8796
Mailing address
PO BOX 186, COROZAL, PR 00783-0186
(787) 246-8796
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18521
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18521
PR REGULAR LICENSE NUMBER
PR
Enumeration date
10/02/2012
Last updated
10/02/2012
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