Provider Demographics
NPI:1285424481
Name:ZAGUIRRE LORENZO, GRETHER ESTHER
Entity type:Individual
Prefix:
First Name:GRETHER
Middle Name:ESTHER
Last Name:ZAGUIRRE LORENZO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2224 SE 27TH DR
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33035-1330
Mailing Address - Country:US
Mailing Address - Phone:786-721-3554
Mailing Address - Fax:786-721-3554
Practice Address - Street 1:2224 SE 27TH DR
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33035-1330
Practice Address - Country:US
Practice Address - Phone:786-721-3554
Practice Address - Fax:786-721-3554
Is Sole Proprietor?:No
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-351523106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician