Provider Demographics
NPI:1336287309
Name:ZAYAS, MARIA R (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:R
Last Name:ZAYAS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9140 CALLE MARINA
Mailing Address - Street 2:402
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-2030
Mailing Address - Country:US
Mailing Address - Phone:787-840-7150
Mailing Address - Fax:787-840-7150
Practice Address - Street 1:9140 CALLE MARINA
Practice Address - Street 2:402
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2030
Practice Address - Country:US
Practice Address - Phone:787-840-7150
Practice Address - Fax:787-840-7150
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1167122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist