Doctor Name: | MRS. ZULMA CARRILLO |
NPI Number: | 1104851781 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O |
License Number: | 2533 |
Business Practice Address: | Calle Francisco Haddock 1330 Cidra, PR - 00739 |
Business Phone Number: | 7877398182 |
Business Fax Number: | 7877398120 |
Mailing Address: | Po Box 8056, HUMACAO |
State: | PR |
Postal Code: | 007928056 |
Phone Number: | 7873093412 |
Fax Number: | 7877398190 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 12/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2533 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |