Provider Demographics
NPI:1295385037
Name:ZULETA, SUHEI CRISTINA
Entity Type:Individual
Prefix:
First Name:SUHEI
Middle Name:CRISTINA
Last Name:ZULETA
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 1:920 CARR 876 APT 77 CONDOMINIOS WOODLANDS
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:832-367-6530
Mailing Address - Fax:
Practice Address - Street 1:CENTRO MEDICO DE PUERTO RICO HOSPITAL MUNICIPAL
Practice Address - Street 2:DEPARTAMENTO DE PEDIATRIA 3RD PISO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936
Practice Address - Country:US
Practice Address - Phone:787-765-7618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty