Provider Demographics
NPI:1750169298
Name:CASTRO ZAMBRANA, LIGIA P
Entity type:Individual
Prefix:
First Name:LIGIA
Middle Name:P
Last Name:CASTRO ZAMBRANA
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 1:7729 MAPLE LANDING CT
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-7199
Mailing Address - Country:US
Mailing Address - Phone:915-539-8568
Mailing Address - Fax:
Practice Address - Street 1:7729 MAPLE LANDING CT
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-7199
Practice Address - Country:US
Practice Address - Phone:915-539-8568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant