Provider Demographics
NPI:1912109901
Name:GUASP-SOTO, ZAYRA M (PHD)
Entity Type:Individual
Prefix:DR
First Name:ZAYRA
Middle Name:M
Last Name:GUASP-SOTO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A18 CALLE 2
Mailing Address - Street 2:URB. SAN MIGUEL
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-3019
Mailing Address - Country:US
Mailing Address - Phone:787-255-2025
Mailing Address - Fax:
Practice Address - Street 1:A18 CALLE 2
Practice Address - Street 2:URB. SAN MIGUEL
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623-3019
Practice Address - Country:US
Practice Address - Phone:787-255-2025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1904103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist