Provider Demographics
NPI:1124314851
Name:PEREZ, HECTOR (PHARMD)
Entity type:Individual
Prefix:
First Name:HECTOR
Middle Name:
Last Name:PEREZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND HILLSVIEW PLZ
Mailing Address - Street 2:59 CALLE UNION 110
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971-7401
Mailing Address - Country:US
Mailing Address - Phone:787-366-5066
Mailing Address - Fax:787-287-0558
Practice Address - Street 1:COND HILLSVIEW PLZ
Practice Address - Street 2:59 CALLE UNION 110
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00971-7401
Practice Address - Country:US
Practice Address - Phone:787-366-5066
Practice Address - Fax:787-287-0558
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5046183500000X
FLPS41081183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist