Provider Demographics
NPI:1427818350
Name:PEGUERO PEREZ, ANA I
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:I
Last Name:PEGUERO 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 1:165 FRANKLIN AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-1636
Mailing Address - Country:US
Mailing Address - Phone:973-687-5586
Mailing Address - Fax:
Practice Address - Street 1:165 FRANKLIN AVE APT 7
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-1636
Practice Address - Country:US
Practice Address - Phone:973-687-5586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator