Provider Demographics
NPI:1316653991
Name:PEREZ, JULIANA IRIS
Entity type:Individual
Prefix:MISS
First Name:JULIANA
Middle Name:IRIS
Last Name:PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1836 MOHEGAN AVE APT 1FL
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460-4652
Mailing Address - Country:US
Mailing Address - Phone:347-536-7989
Mailing Address - Fax:
Practice Address - Street 1:1836 MOHEGAN AVE APT 1FL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-4652
Practice Address - Country:US
Practice Address - Phone:347-536-7989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty