Provider Demographics
NPI:1679391858
Name:PEREZ AROCHO, JORGE A (MA)
Entity type:Individual
Prefix:MR
First Name:JORGE
Middle Name:A
Last Name:PEREZ AROCHO
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 8349
Mailing Address - Street 2:
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-9573
Mailing Address - Country:US
Mailing Address - Phone:939-254-0727
Mailing Address - Fax:
Practice Address - Street 1:CENTRO ISABELINO DE MEDICINA AVANZADA (CIMA)
Practice Address - Street 2:SUITE 11
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662
Practice Address - Country:US
Practice Address - Phone:939-254-0727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-27
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3280103T00000X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling