Provider Demographics
NPI:1831716638
Name:ZAYAS, SHIRLEY I (MSW)
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:I
Last Name:ZAYAS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 17491
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-9798
Mailing Address - Country:US
Mailing Address - Phone:787-974-1813
Mailing Address - Fax:
Practice Address - Street 1:BARRIO JAUCA SECTOR CANTA SAPO CARRETERA 1 INTERIOR
Practice Address - Street 2:
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757
Practice Address - Country:US
Practice Address - Phone:787-974-1813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR152111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical