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NPI Code Detail

MEDICARE: NELISSA PENA PEREZ

MEDICARE:   NELISSA  PENA PEREZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1033078225
Entity Type Code : Individual
Provider Name (Legal Business Name) : NELISSA PENA PEREZ
Provider Business Mailing Address
First Line : PO BOX 574
Second Line :
City : JUANA DIAZ
State : PR
Zip : 00795
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 62 C. COMERCIO, PONCE
Second Line :
City : PONCE
State : PR
Zip : 00730
Country : US
Telephone Number : 787-308-2502
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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Directions to “ NELISSA PENA PEREZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.