Provider Demographics
NPI:1073355194
Name:BORRERO, SINDIA ZACHARY
Entity type:Individual
Prefix:MRS
First Name:SINDIA
Middle Name:ZACHARY
Last Name:BORRERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 BLVD DEL CARMEN
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-5725
Mailing Address - Country:US
Mailing Address - Phone:787-955-1643
Mailing Address - Fax:
Practice Address - Street 1:56 BLVD DEL CARMEN
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-5725
Practice Address - Country:US
Practice Address - Phone:787-955-1643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR636156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician