Provider Demographics
NPI:1124813902
Name:CABAN PEREZ, MARILIA
Entity type:Individual
Prefix:
First Name:MARILIA
Middle Name:
Last Name:CABAN PEREZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4461 TOPA TOPA DR
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-7160
Mailing Address - Country:US
Mailing Address - Phone:787-329-6145
Mailing Address - Fax:787-329-6145
Practice Address - Street 1:4461 TOPA TOPA DR
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-7160
Practice Address - Country:US
Practice Address - Phone:787-329-6145
Practice Address - Fax:787-329-6145
Is Sole Proprietor?:No
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath