Provider Demographics
NPI:1053725671
Name:ZELLEK, MARIA (MEDICAL ASSISTANT)
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:
Last Name:ZELLEK
Suffix:
Gender:F
Credentials:MEDICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EDIF JOAQUIN MONTESINO CALLE ISABEL 2NDA
Mailing Address - Street 2:OFICINA 107
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961
Mailing Address - Country:US
Mailing Address - Phone:787-466-8641
Mailing Address - Fax:787-740-7011
Practice Address - Street 1:EDIF JOAQUIN MONTESINO CALLE ISABEL 2NDA
Practice Address - Street 2:OFICINA 107
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-466-8641
Practice Address - Fax:787-740-7011
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-12
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator