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NPI Code Detail

MEDICARE: DR. ZINIA M PEREZ-PRADO

MEDICARE: DR. ZINIA M PEREZ-PRADO
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
1103T00000XPsychologist3021PR
2103TH0100XHealth Service Psychologist3021PR

General Provider Information

NPI Number : 1831641752
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZINIA M PEREZ-PRADO
Provider Business Mailing Address
First Line : F3 CALLE 5
Second Line : URB SAN ANTONIO
City : CAGUAS
State : PR
Zip : 00725
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 AVE RAFAEL CORDERO
Second Line : PLAZA DEL MERCADO, OFICINA 7
City : CAGUAS
State : PR
Zip : 00725-3811
Country : US
Telephone Number : 787-349-9301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2016
Last Update Date : 10/26/2016

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Directions to “ DR. ZINIA M PEREZ-PRADO ” Practice Location

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