Healthcare Provider Details

I. General information

NPI: 1326958737
Provider Name (Legal Business Name): ASHLY NIEVES ZAYAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 CALLE CASTILLA
ARECIBO PR
00612-8844
US

IV. Provider business mailing address

URB. HACIENDA TOLEDO CALLE CASTILLA #308
ARECIBO PR
00612
US

V. Phone/Fax

Practice location:
  • Phone: 787-213-9642
  • Fax:
Mailing address:
  • Phone: 787-213-9642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number1132
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: