Provider Demographics
NPI:1285709105
Name:ALAMO MALDONADO, ZACARIAS
Entity type:Individual
Prefix:DR
First Name:ZACARIAS
Middle Name:
Last Name:ALAMO MALDONADO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6449
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-6449
Mailing Address - Country:US
Mailing Address - Phone:787-743-5330
Mailing Address - Fax:787-665-6842
Practice Address - Street 1:AVE LUIS MUNOS MARIN C 17
Practice Address - Street 2:REPARTO CAGUAX
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-743-5330
Practice Address - Fax:787-665-6842
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5748208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE43181Medicare UPIN
PRE43181Medicare ID - Type Unspecified