Provider Demographics
NPI:1871811935
Name:PEREZ, STEVEN C (TEM)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:C
Last Name:PEREZ
Suffix:
Gender:M
Credentials:TEM
Other - Prefix:MR
Other - First Name:STEVEN
Other - Middle Name:C
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:TEM
Mailing Address - Street 1:82 CALLE TEATRO
Mailing Address - Street 2:CALLE TEATRO 82
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603-4938
Mailing Address - Country:US
Mailing Address - Phone:787-962-3040
Mailing Address - Fax:
Practice Address - Street 1:82 CALLE TEATRO
Practice Address - Street 2:CALLE TEATRO 82
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-4938
Practice Address - Country:US
Practice Address - Phone:787-962-3040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic