Healthcare Provider Details

I. General information

NPI: 1720994700
Provider Name (Legal Business Name): SUI CURA HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 W MAIN ST
AVON CT
06001-4355
US

IV. Provider business mailing address

304 W MAIN ST STE 2
AVON CT
06001-4355
US

V. Phone/Fax

Practice location:
  • Phone: 860-270-9034
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DOROTHY JESSICA PEREZ
Title or Position: APRN/MANAGER
Credential: APRN
Phone: 860-263-9377