Provider Demographics
NPI:1790659787
Name:ZAVALA, NAHIR LIZETTE (SLP)
Entity type:Individual
Prefix:MRS
First Name:NAHIR
Middle Name:LIZETTE
Last Name:ZAVALA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 CALLE ALPES
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920-4156
Mailing Address - Country:US
Mailing Address - Phone:787-723-2788
Mailing Address - Fax:
Practice Address - Street 1:1007 CALLE ALPES
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-4156
Practice Address - Country:US
Practice Address - Phone:787-723-2788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR624235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist