Provider Demographics
NPI:1548838790
Name:RODRIGUEZ ZAYAS, ANA EUGENIA (MT, ND, PHD)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:EUGENIA
Last Name:RODRIGUEZ ZAYAS
Suffix:
Gender:F
Credentials:MT, ND, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ESCORIAL BUILDING ONE 1400 AVE. DE DIEGO SUITE 220-C
Mailing Address - Street 2:PARQUE ESCORIAL
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987
Mailing Address - Country:US
Mailing Address - Phone:787-688-5387
Mailing Address - Fax:
Practice Address - Street 1:ESCORIAL BUILDING ONE 1400 AVE. DE DIEGO SUITE 220-C
Practice Address - Street 2:PARQUE ESCORIAL
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:787-688-5387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133NN1002X, 171100000X
PA5324246QM0706X
PR54175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No171100000XOther Service ProvidersAcupuncturist
No246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist