Healthcare Provider Details

I. General information

NPI: 1326855263
Provider Name (Legal Business Name): JESSICA ALMANZAR-ZORRILLA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2024
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

571 CALLE LODI
SAN JUAN PR
00924-3800
US

IV. Provider business mailing address

571 CALLE LODI
SAN JUAN PR
00924-3800
US

V. Phone/Fax

Practice location:
  • Phone: 787-556-8872
  • Fax:
Mailing address:
  • Phone: 787-556-8872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number7495
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: