Healthcare Provider Details

I. General information

NPI: 1770490641
Provider Name (Legal Business Name): ZULEYKA MONTANEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COM. RANCHO BONITO CALLE 5 H15
JUNCOS PR
00777-6002
US

IV. Provider business mailing address

COMUNIDAD RANCHO BONITO CALLE 5 H15 BARRIO CEIBA NORTE
JUNCOS PR
00777-6002
US

V. Phone/Fax

Practice location:
  • Phone: 787-685-7573
  • Fax:
Mailing address:
  • Phone: 787-685-7573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number805
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: