Provider Demographics
NPI:1750548780
Name:ZAMBRANA, MARIA (LND MPA CNS)
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:
Last Name:ZAMBRANA
Suffix:
Gender:F
Credentials:LND MPA CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:VIA PEDREGAL COND MONTECILLOS # I
Mailing Address - Street 2:APT 402
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-6080
Mailing Address - Country:US
Mailing Address - Phone:787-760-2448
Mailing Address - Fax:787-760-2448
Practice Address - Street 1:AVE SANCHEZ OSORIO
Practice Address - Street 2:#5A-3
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983-3226
Practice Address - Country:US
Practice Address - Phone:787-762-2380
Practice Address - Fax:787-760-2448
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR098133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist