Provider Demographics
NPI:1316737869
Name:CASTILLO LOYNAZ, ZULEMA
Entity type:Individual
Prefix:
First Name:ZULEMA
Middle Name:
Last Name:CASTILLO LOYNAZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1262 HALL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-5746
Mailing Address - Country:US
Mailing Address - Phone:239-371-6979
Mailing Address - Fax:
Practice Address - Street 1:4226 DEL PRADO BLVD S
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7168
Practice Address - Country:US
Practice Address - Phone:239-349-2734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician