Provider Demographics
NPI:1467854083
Name:ZRA MENTAL HEALTH P.S.C.
Entity Type:Organization
Organization Name:ZRA MENTAL HEALTH P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZALESKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-646-8048
Mailing Address - Street 1:3125 CALLE PEDREGALES
Mailing Address - Street 2:MANSIONES
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-8978
Mailing Address - Country:US
Mailing Address - Phone:787-646-8048
Mailing Address - Fax:
Practice Address - Street 1:K7 CALLE PUEBLO NUEVO
Practice Address - Street 2:
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623-3407
Practice Address - Country:US
Practice Address - Phone:787-646-8048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-25
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR184652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty