Doctor Name: | MISS ZULEIKA MEDINA - DORTA |
NPI Number: | 1053519306 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | O.T. |
License Number: | OTL 938 |
Business Practice Address: | Hc 4 Box 43019 Hatillo, PR - 006599484 |
Business Phone Number: | 7873889679 |
Business Fax Number: | |
Mailing Address: | Hc 4 Box 43019, HATILLO |
State: | PR |
Postal Code: | 006599484 |
Phone Number: | 7873889679 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2007 |
NPI Last Update Date: | 10/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OTL 938 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |