Provider Demographics
NPI:1043708241
Name:TROCHE, ZUANIA
Entity Type:Individual
Prefix:
First Name:ZUANIA
Middle Name:
Last Name:TROCHE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1565
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-1565
Mailing Address - Country:US
Mailing Address - Phone:787-238-4289
Mailing Address - Fax:
Practice Address - Street 1:AVE. GAUTIER BENITEZ ANEXO B-5
Practice Address - Street 2:INSPIRA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726-9809
Practice Address - Country:US
Practice Address - Phone:787-704-0705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-24
Last Update Date:2019-01-16
Deactivation Date:2018-08-22
Deactivation Code:
Reactivation Date:2018-11-26
Provider Licenses
StateLicense IDTaxonomies
PR4300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional