Provider Demographics
NPI:1962611574
Name:CARRION, ZAYDA
Entity type:Individual
Prefix:MRS
First Name:ZAYDA
Middle Name:
Last Name:CARRION
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:COND SAN GERARDO
Mailing Address - Street 2:1622
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-3327
Mailing Address - Country:US
Mailing Address - Phone:787-751-6616
Mailing Address - Fax:
Practice Address - Street 1:COND EL VEDADO
Practice Address - Street 2:115 RODRIGO DE TRIANA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3030
Practice Address - Country:US
Practice Address - Phone:787-250-6203
Practice Address - Fax:787-765-1581
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1826183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR687761OtherDRIVERS LICENSE