Provider Demographics
NPI:1851502652
Name:ZAYAS, IRIS E (AX)
Entity Type:Individual
Prefix:MS
First Name:IRIS
Middle Name:E
Last Name:ZAYAS
Suffix:
Gender:F
Credentials:AX
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Mailing Address - Street 1:STREET H BLOCK 6 #12B
Mailing Address - Street 2:URB. SAN CRISTOBAL
Mailing Address - City:BARRANQUITAS
Mailing Address - State:PR
Mailing Address - Zip Code:00794
Mailing Address - Country:US
Mailing Address - Phone:787-613-4474
Mailing Address - Fax:787-857-4280
Practice Address - Street 1:ROAD 156 KM 13.4 BO. PALO HIMCADO
Practice Address - Street 2:HC-02 BOX 7600
Practice Address - City:BARRANQUITAS
Practice Address - State:PR
Practice Address - Zip Code:00794
Practice Address - Country:US
Practice Address - Phone:787-857-3980
Practice Address - Fax:787-857-4280
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR1507183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician