1700858610 NPI number — GEORGINA ARROYO ZENGOTITA M.D.

Table of content: GEORGINA ARROYO ZENGOTITA M.D. (NPI 1700858610)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700858610 NPI number — GEORGINA ARROYO ZENGOTITA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARROYO ZENGOTITA
Provider First Name:
GEORGINA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ARROYO
Provider Other First Name:
GEORGINA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1700858610
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/27/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 20553
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00928-0553
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-967-6561
Provider Business Mailing Address Fax Number:
787-957-6561

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR 188 # C41
Provider Second Line Business Practice Location Address:
URB. JARDINES DE LOIZA
Provider Business Practice Location Address City Name:
LOIZA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00772-1850
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-957-6561
Provider Business Practice Location Address Fax Number:
787-957-6560
Provider Enumeration Date:
02/03/2006

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: 207Q00000X , with the licence number:  11714 , 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: 4301086949 . This is a "MICHIGAN LICENSE NUMBER" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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