Provider Demographics
NPI:1619726999
Name:CAPPAS PEREZ, ROLANDO R (MS)
Entity type:Individual
Prefix:
First Name:ROLANDO
Middle Name:R
Last Name:CAPPAS PEREZ
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 SUNDIAL AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-7244
Mailing Address - Country:US
Mailing Address - Phone:603-634-9471
Mailing Address - Fax:
Practice Address - Street 1:25 SUNDIAL AVE STE 310
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-7244
Practice Address - Country:US
Practice Address - Phone:603-634-9471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health