Healthcare Provider Details

I. General information

NPI: 1851221865
Provider Name (Legal Business Name): GLORIBELL PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 CALLE BETANCES # 61
VEGA BAJA PR
00693-4443
US

IV. Provider business mailing address

URB. VELOMAS AVENIDA CENTRAL CARMEN 146
VEGA ALTA PR
00692
US

V. Phone/Fax

Practice location:
  • Phone: 787-948-3346
  • Fax:
Mailing address:
  • Phone: 787-579-2525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number001295
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: