Provider Demographics
NPI:1831944297
Name:MOLINA ZAMORA, MARCIA B
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:B
Last Name:MOLINA ZAMORA
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 1:1352 CALLE INGLATERRA
Mailing Address - Street 2:BO LLANADAS
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-1352
Mailing Address - Country:US
Mailing Address - Phone:787-322-4411
Mailing Address - Fax:
Practice Address - Street 1:270 CALLE COLON
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-2937
Practice Address - Country:US
Practice Address - Phone:787-322-4411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR151281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical