Provider Demographics
NPI:1629669098
Name:ZARAGOZA, GABRIELA (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:ZARAGOZA
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14414 CHALLEDON CIR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-1113
Mailing Address - Country:US
Mailing Address - Phone:210-849-0133
Mailing Address - Fax:
Practice Address - Street 1:14414 CHALLEDON CIR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-1113
Practice Address - Country:US
Practice Address - Phone:210-849-0133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX783031163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse