Provider Demographics
NPI:1033009923
Name:PERALES, LILIA ROCIO (ATC, LAT)
Entity type:Individual
Prefix:MS
First Name:LILIA
Middle Name:ROCIO
Last Name:PERALES
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7998 STARRY NIGHT DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79932-1073
Mailing Address - Country:US
Mailing Address - Phone:915-203-5138
Mailing Address - Fax:
Practice Address - Street 1:801 S SAN MARCIAL ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-4122
Practice Address - Country:US
Practice Address - Phone:915-236-7026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT19102255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer