Provider Demographics
NPI:1992892749
Name:ZAYAS, MAYRA L (PT)
Entity type:Individual
Prefix:MRS
First Name:MAYRA
Middle Name:L
Last Name:ZAYAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:E2 STREET 4
Mailing Address - Street 2:URB HACIENDAS DE CARRAIZO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-0001
Mailing Address - Country:US
Mailing Address - Phone:787-516-0771
Mailing Address - Fax:
Practice Address - Street 1:HACIENDAS DE CARRAIZO
Practice Address - Street 2:C/4 E-2
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-0001
Practice Address - Country:US
Practice Address - Phone:787-516-0771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR554225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist