Provider Demographics
NPI:1295261352
Name:ZAYAS, ALEXANDRA
Entity type:Individual
Prefix:MISS
First Name:ALEXANDRA
Middle Name:
Last Name:ZAYAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 HACIENDA PARQUE
Mailing Address - Street 2:
Mailing Address - City:SAN LORENZO
Mailing Address - State:PR
Mailing Address - Zip Code:00754-9633
Mailing Address - Country:US
Mailing Address - Phone:787-692-0278
Mailing Address - Fax:
Practice Address - Street 1:51 HACIENDA PARQUE
Practice Address - Street 2:
Practice Address - City:SAN LORENZO
Practice Address - State:PR
Practice Address - Zip Code:00754-9633
Practice Address - Country:US
Practice Address - Phone:787-692-0278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1064224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant