Provider Demographics
NPI:1740565514
Name:ZAYAS ARCA, DENISSE (MS)
Entity Type:Individual
Prefix:
First Name:DENISSE
Middle Name:
Last Name:ZAYAS ARCA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:F2 CALLE G
Mailing Address - Street 2:JARDINES DE CAGUAS
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-2524
Mailing Address - Country:US
Mailing Address - Phone:787-505-6665
Mailing Address - Fax:
Practice Address - Street 1:MAYAGUEZ CT
Practice Address - Street 2:214
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-5130
Practice Address - Country:US
Practice Address - Phone:787-505-6665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3829103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist