Provider Demographics
NPI:1356231690
Name:VEGA ROSARIO, ZAIRA IVETTE
Entity type:Individual
Prefix:
First Name:ZAIRA
Middle Name:IVETTE
Last Name:VEGA ROSARIO
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 1:31047 URB. MIRAFLORES
Mailing Address - Street 2:CALLE VIOLETA
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:787-391-7422
Mailing Address - Fax:
Practice Address - Street 1:31047 URB. MIRAFLORES
Practice Address - Street 2:CALLE VIOLETA
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:787-391-7422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR926235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist