Provider Demographics
NPI:1821034497
Name:ZAYAS, ENILDA (CONSEJERA EN REHABIL)
Entity Type:Individual
Prefix:
First Name:ENILDA
Middle Name:
Last Name:ZAYAS
Suffix:
Gender:F
Credentials:CONSEJERA EN REHABIL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URBANIZACION DIAMOND VILLAGE C-13, CAGUAS P.R.
Mailing Address - Street 2:PO BOX 605
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739
Mailing Address - Country:US
Mailing Address - Phone:787-739-3042
Mailing Address - Fax:
Practice Address - Street 1:BARRIO SUD CARRETERA 171 CIDRA P.R. 00739
Practice Address - Street 2:BOX 605
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-739-3042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR560174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist