Provider Demographics
NPI:1245129865
Name:PEREZ BRUGMAN, CRISTINA MARIE (PSYD)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:MARIE
Last Name:PEREZ BRUGMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 CARRETERA 2
Mailing Address - Street 2:PEDRO BLANCO LUGO I OFICINA 203
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-8513
Mailing Address - Country:US
Mailing Address - Phone:787-854-0555
Mailing Address - Fax:
Practice Address - Street 1:200 CARRETERA 2
Practice Address - Street 2:PEDRO BLANCO LUGO I OFICINA 203
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-8513
Practice Address - Country:US
Practice Address - Phone:787-854-0555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8498103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical