Individual
MR. VIDAL P PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW 00915
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021380
NHP RI PROVIDER NUMBER
RI
01
—
21072-4
BC/BS PROVIDER NUMBER
RI
01
—
6251061
UBH PROVIDER NUMBER
RI
Enumeration date
08/08/2006
Last updated
03/16/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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