Provider Demographics
NPI:1316146186
Name:PEREZ, ANA (ITDS)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:ITDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5660 14TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-4916
Mailing Address - Country:US
Mailing Address - Phone:239-272-5326
Mailing Address - Fax:239-353-5306
Practice Address - Street 1:5660 14TH AVE SW
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-4916
Practice Address - Country:US
Practice Address - Phone:239-272-5326
Practice Address - Fax:239-353-5306
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist