Provider Demographics
NPI:1437828563
Name:FLORES-PEREZ, SONIA NOEMI (PSYD)
Entity type:Individual
Prefix:DR
First Name:SONIA
Middle Name:NOEMI
Last Name:FLORES-PEREZ
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:HC 73 BOX 5773
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00736-9102
Mailing Address - Country:US
Mailing Address - Phone:787-373-8439
Mailing Address - Fax:
Practice Address - Street 1:9 AVE JOSE DE DIEGO E
Practice Address - Street 2:
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736-3807
Practice Address - Country:US
Practice Address - Phone:939-208-4844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-11
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3544103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling