Provider Demographics
NPI:1548646391
Name:PEREIRA, KARLA DENISE
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:DENISE
Last Name:PEREIRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:F1D CALLE 600 # 913
Mailing Address - Street 2:ESTANCIAS DEL REY
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-4723
Mailing Address - Country:US
Mailing Address - Phone:787-639-5488
Mailing Address - Fax:
Practice Address - Street 1:F1D CALLE 600 # 913
Practice Address - Street 2:ESTANCIAS DEL REY
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-4723
Practice Address - Country:US
Practice Address - Phone:787-639-5488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR117571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical