1396112520 NPI number — DR. ALBERTO ZAMOT CARMONA, P.S.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396112520 NPI number — DR. ALBERTO ZAMOT CARMONA, P.S.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. ALBERTO ZAMOT CARMONA, P.S.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1396112520
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/24/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1357 ASHFORD AVE
Provider Second Line Business Mailing Address:
PMB 198
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00907
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR 693 ESQ AVE JOSE EFRON
Provider Second Line Business Practice Location Address:
LOCAL 24 PLAZA DORADA
Provider Business Practice Location Address City Name:
DORADO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00646
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-665-2222
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/24/2015

Additional Information

Authorized Official

Authorized Official Last Name:
ZAMOT CARMONA
Authorized Official First Name:
ALBERTO
Authorized Official Middle Name:
LUIS
Authorized Official Title or Position:
GASTROENTEROLOGIST
Authorized Official Telephone Number:
787-998-0698

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  17570 , 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: HT717A . This is a "MEDICARE PTAN" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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