1710216619 NPI number — GARAMA M.R. INC.

Table of content: MICHAELA LEIGH ZAFFINO LMSW (NPI 1013601962)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710216619 NPI number — GARAMA M.R. INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GARAMA M.R. INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710216619
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/24/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
351 CALLE FLOR DE SIERRA
Provider Second Line Business Mailing Address:
HACIENDA REAL
Provider Business Mailing Address City Name:
CAROLINA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00987-9781
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
489 AVE. EMILIANO POL
Provider Second Line Business Practice Location Address:
URB LA CUMBRE
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00926-5627
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-708-1300
Provider Business Practice Location Address Fax Number:
787-708-1800
Provider Enumeration Date:
12/24/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FEBRES
Authorized Official First Name:
MABEL
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-467-9106

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)