Provider Demographics
NPI:1104054485
Name:ZENO SANTI, ROSAEL (PSYD)
Entity type:Individual
Prefix:DR
First Name:ROSAEL
Middle Name:
Last Name:ZENO SANTI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX
Mailing Address - Street 2:9117
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-9117
Mailing Address - Country:US
Mailing Address - Phone:787-960-0654
Mailing Address - Fax:787-880-2756
Practice Address - Street 1:#120 AVE. LAS CUMBRES
Practice Address - Street 2:GUAYNABO MEDICAL MALL SUITE 201
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5635
Practice Address - Country:US
Practice Address - Phone:787-249-4121
Practice Address - Fax:787-880-2756
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-25
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3414103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical