Healthcare Provider Details

I. General information

NPI: 1740167592
Provider Name (Legal Business Name): LIREY JEANNETTE PEREZ TORRES OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 AVE ESTEVES
UTUADO PR
00641-3025
US

IV. Provider business mailing address

HC 2 BOX 8627
JAYUYA PR
00664-9666
US

V. Phone/Fax

Practice location:
  • Phone: 939-263-2346
  • Fax:
Mailing address:
  • Phone: 939-263-2346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1396
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number1396
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number1396
License Number StatePR
# 4
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number1396
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: