Provider Demographics
NPI:1356557011
Name:RADINSON PEREZ, EVA Y (RN, MA, PHD)
Entity type:Individual
Prefix:DR
First Name:EVA
Middle Name:Y
Last Name:RADINSON PEREZ
Suffix:
Gender:F
Credentials:RN, MA, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 61 BOX 34763
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9415
Mailing Address - Country:US
Mailing Address - Phone:787-265-5583
Mailing Address - Fax:
Practice Address - Street 1:CALLE DR BASORA 55 N
Practice Address - Street 2:EDIF MEDICO IV OFICINA 201
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-265-5583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR25781163WP0807X
PR3927103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent