Healthcare Provider Details

I. General information

NPI: 1619256856
Provider Name (Legal Business Name): ZONA DESARROLLO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

563 CUEVILLAS ST. APT 3-B
SAN JUAN PR
00907-0744
US

IV. Provider business mailing address

PO BOX 9744
SAN JUAN PR
00908-0744
US

V. Phone/Fax

Practice location:
  • Phone: 787-644-9628
  • Fax: 787-724-5559
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StatePR

VIII. Authorized Official

Name: FRANCES JERAMIE ALVARO
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential:
Phone: 787-218-9001