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General NPI Number Information
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NPI Number | 1538830120
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Entity Type | Individual
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Provider Name | LORIANNE ALEJANDRA PEREZ PEREZ DC
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Gender | Female
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 2167 BLVD LUIS A FERRE
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City | PONCE
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State | PR
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Zip | 00717-0725
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Country | US
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Telephone | 787-901-8717
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8120
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City | PONCE
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State | PR
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Zip | 00732-8120
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Country | US
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Telephone | 787-901-8717
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 803
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License Number State | PR
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