Healthcare Provider Details

I. General information

NPI: 1851207898
Provider Name (Legal Business Name): MARIA DEL ROSARIO PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PARCELAS GUAYABAL CALLE 6 #95
JUANA DIAZ PR
00795
US

IV. Provider business mailing address

4554 CALLE DENED
PONCE PR
00717-1463
US

V. Phone/Fax

Practice location:
  • Phone: 939-328-3588
  • Fax:
Mailing address:
  • Phone: 939-222-2911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number0839
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: