MEDICARE: GLORIBELL 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
1	156FX1800X	Optician	001295	PR

General Provider Information

NPI Number	:	1851221865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLORIBELL PEREZ

Provider Business Mailing Address
First Line	:	URB. VELOMAS AVENIDA CENTRAL CARMEN 146
Second Line	:
City	:	VEGA ALTA
State	:	PR
Zip	:	00692
Country	:	US
Telephone Number	:	787-579-2525
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 CALLE BETANCES # 61
Second Line	:
City	:	VEGA BAJA
State	:	PR
Zip	:	00693-4443
Country	:	US
Telephone Number	:	787-948-3346
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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Directions to “ GLORIBELL PEREZ ” Practice Location

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