Healthcare Provider Details

I. General information

NPI: 1851165641
Provider Name (Legal Business Name): ZORAYMA CARLO MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2023
Last Update Date: 11/13/2023
Certification Date: 11/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 COND PARQ JULIANA APT 801
CAROLINA PR
00987-8281
US

IV. Provider business mailing address

800 COND PARQ JULIANA APT 801
CAROLINA PR
00987-8281
US

V. Phone/Fax

Practice location:
  • Phone: 939-223-8539
  • Fax:
Mailing address:
  • Phone: 939-223-8539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number1944
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: