Provider Demographics
NPI:1609608264
Name:PEREZ ORTIZ, DARALYS (TERAPISTA DEL HABLA)
Entity type:Individual
Prefix:MRS
First Name:DARALYS
Middle Name:
Last Name:PEREZ ORTIZ
Suffix:
Gender:F
Credentials:TERAPISTA DEL HABLA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3578
Mailing Address - Street 2:
Mailing Address - City:VEGA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00692-3578
Mailing Address - Country:US
Mailing Address - Phone:939-377-0884
Mailing Address - Fax:
Practice Address - Street 1:CARR. 679 KM 3 SECTOR KUILAN
Practice Address - Street 2:BO. ESPINOSA
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:939-377-0884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant