Provider Demographics
NPI:1699587428
Name:PEREZ MITCHELL, CRISTINA MARIA (PSYD)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:MARIA
Last Name:PEREZ MITCHELL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 VILLA MENA
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-6649
Mailing Address - Country:US
Mailing Address - Phone:787-236-7961
Mailing Address - Fax:
Practice Address - Street 1:42 VILLA MENA
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-6649
Practice Address - Country:US
Practice Address - Phone:787-236-7961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-20
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8239103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical