Individual
ALICE GEANNY PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
AVENIDA SANCHEZ OSORIO 5H4, VILLA FONTANA PARK, CAROLINA, PR 00988
(787) 768-3320
Mailing address
304 CALLE AZALEA, VALLE ESCONDIDO, CAROLINA, PR 00987-8727
(787) 768-3320
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1926
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1645
APS
PR
01
—
457101
FHC
PR
01
—
61364
TRIPLE S
PR
01
—
7873
FIRST MEDICAL
PR
Enumeration date
05/23/2007
Last updated
07/08/2007
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