Provider Demographics
NPI:1679882997
Name:MENDOZA KEPPIS, ZULLYBEL (OTR/L)
Entity type:Individual
Prefix:MS
First Name:ZULLYBEL
Middle Name:
Last Name:MENDOZA KEPPIS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 AVE 65 INFANTERIA
Mailing Address - Street 2:PLAZA ITURREGUI SHOPPING CENTER SUITE 17
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-3402
Mailing Address - Country:US
Mailing Address - Phone:787-769-7100
Mailing Address - Fax:
Practice Address - Street 1:1135 AVE 65 INFANTERIA
Practice Address - Street 2:PLAZA ITURREGUI SHOPPING CENTER SUITE 17
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-3402
Practice Address - Country:US
Practice Address - Phone:787-769-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1108225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist