Individual
LUIS E PEREZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTL
Contact information
Practice address
RR 1 BOX 44268, SAN SEBASTIAN, PR 00685-6216
(787) 375-7868
Mailing address
RR 1 BOX 44268, SAN SEBASTIAN, PR 00685-6216
(787) 375-7868
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
784
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
784
OCCUPATIONAL THERAPIST LICENSE
PR
Enumeration date
01/22/2013
Last updated
01/22/2013
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