Provider Demographics
NPI:1609390970
Name:COSS, ZULEIKA MARIE (MSW)
Entity Type:Individual
Prefix:
First Name:ZULEIKA
Middle Name:MARIE
Last Name:COSS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 70 BOX 26025
Mailing Address - Street 2:
Mailing Address - City:SAN LORENZO
Mailing Address - State:PR
Mailing Address - Zip Code:00754-9646
Mailing Address - Country:US
Mailing Address - Phone:787-322-5251
Mailing Address - Fax:
Practice Address - Street 1:BO CAYAGUAS
Practice Address - Street 2:RAM 9912
Practice Address - City:SAN LORENZO
Practice Address - State:PR
Practice Address - Zip Code:00754-9646
Practice Address - Country:US
Practice Address - Phone:787-322-5251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR134591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical