Provider Demographics
NPI:1770966830
Name:MOLINA-NIEVES, ZELMA
Entity type:Individual
Prefix:MS
First Name:ZELMA
Middle Name:
Last Name:MOLINA-NIEVES
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 1:4079 ALTURAS DE MONTE VERDE
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-5802
Mailing Address - Country:US
Mailing Address - Phone:787-345-0637
Mailing Address - Fax:
Practice Address - Street 1:4079 ALTURAS DE MONTE VERDE
Practice Address - Street 2:
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953-5802
Practice Address - Country:US
Practice Address - Phone:787-345-0637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1369225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist