Provider Demographics
NPI:1679370514
Name:PEREZ GONZALEZ, JUANA (CASE MANAGEMENT)
Entity type:Individual
Prefix:MS
First Name:JUANA
Middle Name:
Last Name:PEREZ GONZALEZ
Suffix:
Gender:
Credentials:CASE MANAGEMENT
Other - Prefix:MS
Other - First Name:JUANA
Other - Middle Name:
Other - Last Name:PEREZ GONZALEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CASE MANAGEMENT
Mailing Address - Street 1:814 OLD MILITARY HWY
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-7800
Mailing Address - Country:US
Mailing Address - Phone:956-590-7650
Mailing Address - Fax:
Practice Address - Street 1:814 OLD MILITARY HWY
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-7800
Practice Address - Country:US
Practice Address - Phone:956-590-7650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12879104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker