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Individual

MRS. MARISOL PEREZ PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT DPT

Contact information

Practice address
42 AVE. JUAN HERNANDEZ, ISABELA, PR 00662
(787) 830-7714
(787) 830-7714
Mailing address
PO BOX 127, AGUADA, PR 00602
(787) 830-7714
(787) 830-7714

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
974
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
223193
PREFERRED HEALTH
01
28725
PROSSAM
01
3302962
ACAA
01
500014
PREFERRED MEDICARE CHOICE
01
6620098
HUMANA
01
6892928
CIGNA
01
7480
INTERNATIONAL
01
870045
MMM
Enumeration date
09/11/2006
Last updated
02/09/2012
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