Provider Demographics
NPI:1588327324
Name:ELOSEGUI, PERLA M
Entity type:Individual
Prefix:
First Name:PERLA
Middle Name:M
Last Name:ELOSEGUI
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:PO BOX 4952
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-4952
Mailing Address - Country:US
Mailing Address - Phone:787-210-2029
Mailing Address - Fax:
Practice Address - Street 1:VEREDAS CAMINO DE LOS CEDROS
Practice Address - Street 2:#712
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778-0077
Practice Address - Country:US
Practice Address - Phone:787-210-2029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-19
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program