Provider Demographics
NPI:1619256856
Name:ZONA DESARROLLO
Entity Type:Organization
Organization Name:ZONA DESARROLLO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:JERAMIE
Authorized Official - Last Name:ALVARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-218-9001
Mailing Address - Street 1:PO BOX 9744
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00908-0744
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:563 CUEVILLAS ST. APT 3-B
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-0744
Practice Address - Country:US
Practice Address - Phone:787-644-9628
Practice Address - Fax:787-724-5559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty