Provider Demographics
NPI:1619777323
Name:ZELAYA ROMERO, HECTOR
Entity type:Individual
Prefix:
First Name:HECTOR
Middle Name:
Last Name:ZELAYA ROMERO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-2679
Mailing Address - Country:US
Mailing Address - Phone:781-493-4806
Mailing Address - Fax:
Practice Address - Street 1:14 SUMMER ST
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-2679
Practice Address - Country:US
Practice Address - Phone:781-493-4806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor