1275598997 NPI number — MIGDALIA COLON-ZAYAS DDS

Table of content: MIGDALIA COLON-ZAYAS DDS (NPI 1275598997)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275598997 NPI number — MIGDALIA COLON-ZAYAS DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COLON-ZAYAS
Provider First Name:
MIGDALIA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275598997
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1551
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VILLALBA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00766-1551
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-847-1325
Provider Business Mailing Address Fax Number:
787-847-2672

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ROAD 149 KM. 58 HM. 6
Provider Second Line Business Practice Location Address:
TIERRA SANTA
Provider Business Practice Location Address City Name:
VILLALBA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00766-1551
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-847-1325
Provider Business Practice Location Address Fax Number:
787-847-2672
Provider Enumeration Date:
04/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  1917 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 41838 . This is a "BLUE SHIELD PROVIDER NUMB" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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