Active NPI
Iris Zoraida Zavala, PH.D.
- Clinical Psychologist
- Mayaguez, PR
National Provider Identifier
1457562563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 588
- Practice address
- Centro de Salud Mental de Mayaguez
410 Ave. Hostos Suite 7
Mayaguez, PR 00682-1522 - Phone
- (787) 831-3714
- Fax
- (787) 831-2095
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 588 | PR | Primary |
| Clinical Psychologist | 103TC0700X | 3800 | MA |
Addresses
Primary practice location
Centro de Salud Mental de Mayaguez
410 Ave. Hostos Suite 7
Mayaguez, PR 00682-1522
Mailing address
Bo. Rosario Alto
HC 1 Buzon 10483
San German, PR 00683
Phone (787) 376-4607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3800 | MA | MD | Chiropractor |
| 588 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457562563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BO. ROSARIO ALTO",
"address_2": "HC 1 BUZON 10483",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "00683",
"telephone_number": "787-376-4607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRO DE SALUD MENTAL DE MAYAGUEZ",
"address_2": "410 AVE. HOSTOS SUITE 7",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006821522",
"telephone_number": "787-831-3714",
"fax_number": "787-831-2095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAVALA",
"first_name": "IRIS",
"middle_name": "ZORAIDA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "588",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "3800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.