Provider Demographics
NPI:1033091368
Name:PEREZ GARCIA, YADIRA (TRABAJO SOCIAL)
Entity type:Individual
Prefix:
First Name:YADIRA
Middle Name:
Last Name:PEREZ GARCIA
Suffix:
Gender:F
Credentials:TRABAJO SOCIAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BARRIADA COREA CALLE SANTO DOMINGO
Mailing Address - Street 2:# 508
Mailing Address - City:VEGA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00692
Mailing Address - Country:US
Mailing Address - Phone:787-201-3800
Mailing Address - Fax:
Practice Address - Street 1:BARRIADA COREA CALLE SANTO DOMINGO
Practice Address - Street 2:508
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692
Practice Address - Country:US
Practice Address - Phone:787-201-3800
Practice Address - Fax:787-201-3800
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13022104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker