Provider Demographics
NPI:1174621338
Name:GUTIERREZ, ZAPHYRE (MSW)
Entity type:Individual
Prefix:
First Name:ZAPHYRE
Middle Name:
Last Name:GUTIERREZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CONDOMINIO VEREDAS DE VENUS
Mailing Address - Street 2:APT. 4301
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-602-3964
Mailing Address - Fax:
Practice Address - Street 1:312 AVE DE DIEGO
Practice Address - Street 2:EDIF. TORRE MUSEO SUITE 301
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-1756
Practice Address - Country:US
Practice Address - Phone:787-217-1337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR79961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical