Provider Demographics
NPI:1689925786
Name:PEREZ, HARRY E (MSW)
Entity type:Individual
Prefix:MR
First Name:HARRY
Middle Name:E
Last Name:PEREZ
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 2 BOX 4784
Mailing Address - Street 2:
Mailing Address - City:VILLALBA
Mailing Address - State:PR
Mailing Address - Zip Code:00766-9716
Mailing Address - Country:US
Mailing Address - Phone:787-677-0211
Mailing Address - Fax:
Practice Address - Street 1:HC 2 BOX 4784
Practice Address - Street 2:
Practice Address - City:VILLALBA
Practice Address - State:PR
Practice Address - Zip Code:00766-9799
Practice Address - Country:US
Practice Address - Phone:787-677-0211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR90831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical