Basic Information
| Provider Information | |||||||||
| NPI: | 1942895610 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PEREZ PACHECO | ||||||||
| FirstName: | JEAMENE | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 193069 | ||||||||
| Address2: | |||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009193069 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877610036 | ||||||||
| FaxNumber: | 7872925050 | ||||||||
| Practice Location | |||||||||
| Address1: | PRECISION HEARING CENTER | ||||||||
| Address2: | CARR 111 SAN SEBASTIAN BO HATO ARRIBA SUITE 18 | ||||||||
| City: | SAN SEBASTIAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00685 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7872800200 | ||||||||
| FaxNumber: | 7872925050 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/04/2021 | ||||||||
| LastUpdateDate: | 03/04/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/12/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 4279 | PR | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.