Provider Demographics
NPI:1588994545
Name:PEREZ, ADRIANA (DC)
Entity type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 4 BOX 44292
Mailing Address - Street 2:BO. TURABO
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-9605
Mailing Address - Country:US
Mailing Address - Phone:787-672-7484
Mailing Address - Fax:
Practice Address - Street 1:SANTA JUANA #2
Practice Address - Street 2:CALLE 12, J-5
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-672-7484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR468111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor