Provider Demographics
NPI:1497646137
Name:PERDOMO RIVAS, DIANA CAROLINA (INTERPRETER)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:CAROLINA
Last Name:PERDOMO RIVAS
Suffix:
Gender:F
Credentials:INTERPRETER
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:
Other - Last Name:PERDOMO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:INTERPRETER
Mailing Address - Street 1:223 COLUMBIA DR APT 211
Mailing Address - Street 2:
Mailing Address - City:CAPE CANAVERAL
Mailing Address - State:FL
Mailing Address - Zip Code:32920-5113
Mailing Address - Country:US
Mailing Address - Phone:386-600-8441
Mailing Address - Fax:
Practice Address - Street 1:223 COLUMBIA DR APT 211
Practice Address - Street 2:
Practice Address - City:CAPE CANAVERAL
Practice Address - State:FL
Practice Address - Zip Code:32920-5113
Practice Address - Country:US
Practice Address - Phone:386-600-8441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter