Healthcare Provider Details

I. General information

NPI: 1295385037
Provider Name (Legal Business Name): SUHEI CRISTINA ZULETA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2019
Last Update Date: 07/30/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CENTRO MEDICO DE PUERTO RICO HOSPITAL MUNICIPAL DEPARTAMENTO DE PEDIATRIA 3RD PISO
SAN JUAN PR
00936
US

IV. Provider business mailing address

6431 FANNIN ST. MSB3.228
HOUSTON TX
77030-7703
US

V. Phone/Fax

Practice location:
  • Phone: 787-765-7618
  • Fax:
Mailing address:
  • Phone: 832-367-6530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License NumberT6423
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: