Provider Demographics
NPI:1306859640
Name:CARRION, ZENAIDA (BS)
Entity Type:Individual
Prefix:MS
First Name:ZENAIDA
Middle Name:
Last Name:CARRION
Suffix:
Gender:F
Credentials:BS
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 604
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-0604
Mailing Address - Country:US
Mailing Address - Phone:787-380-4661
Mailing Address - Fax:787-650-5844
Practice Address - Street 1:URB VISTA AZUL CALLE 22 T - 10
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-380-4661
Practice Address - Fax:787-650-5844
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR773208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation