Individual
IRIS ICELA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
URB EL VALLE 179, CALLE BUCAYO, CAGUAS, PR 00727-3213
(939) 717-2225
Mailing address
URB EL VALLE 179, CALLE BUCAYO GIGANTE, CAGUAS, PR 00727-3213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13351
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72602216
HUMANA
PR
Enumeration date
11/01/2006
Last updated
07/08/2007
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