Provider Demographics
NPI:1215735345
Name:PEREZ, HIRAM A (THERAPIST)
Entity type:Individual
Prefix:
First Name:HIRAM
Middle Name:A
Last Name:PEREZ
Suffix:
Gender:
Credentials:THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 CARMEL AVE
Mailing Address - Street 2:
Mailing Address - City:MARINA
Mailing Address - State:CA
Mailing Address - Zip Code:93933-3052
Mailing Address - Country:US
Mailing Address - Phone:831-402-5061
Mailing Address - Fax:
Practice Address - Street 1:1106 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5464
Practice Address - Country:US
Practice Address - Phone:831-402-5061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2024-54225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty