Healthcare Provider Details

I. General information

NPI: 1518875277
Provider Name (Legal Business Name): ZAELY CORAL SIERRA GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 1224
SAN GERMAN PR
00683-1224
US

IV. Provider business mailing address

BO SABANA ENEAS CARR. 102 KM 26.8.
SAN GERMAN PR
00683
US

V. Phone/Fax

Practice location:
  • Phone: 787-529-0247
  • Fax:
Mailing address:
  • Phone: 787-529-0247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4702
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: