Healthcare Provider Details

I. General information

NPI: 1861320152
Provider Name (Legal Business Name): ZILADI FABIOLA NAZARIO GUZMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

187 C4G9 QW4
LAIZA PR
00772
US

IV. Provider business mailing address

K4 CALLE JACINTO GALIB LOS CAOBOS PLAZA 1001
GUAYNABO PR
00968-4416
US

V. Phone/Fax

Practice location:
  • Phone: 787-758-2525
  • Fax:
Mailing address:
  • Phone: 787-348-9873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: