Provider Demographics
NPI:1699782235
Name:ZAPATA GUZMAN, VICTOR A (MD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:A
Last Name:ZAPATA GUZMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:VICTOR
Other - Middle Name:A
Other - Last Name:ZAPATA GUZMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:P O BOX 752
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-0752
Mailing Address - Country:US
Mailing Address - Phone:787-740-7945
Mailing Address - Fax:787-780-7430
Practice Address - Street 1:AVE TNTE NELSON MARTINEZ EDIF PLAZA CHEVERE
Practice Address - Street 2:LOCAL 5 AVE ALTURAS DE FLAMBOYAN
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-740-7945
Practice Address - Fax:787-780-7430
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2021-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5448207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR26555OtherTRIPLE-S
PR825812OtherMEDICARE MUCHO MAS
PR6320059OtherHUMANA
PR065284OtherCRUZ AZUL
PR212433OtherPREFFERED HEALTH
PR212433OtherPREFFERED HEALTH
PR0026555Medicare ID - Type UnspecifiedMEDICARE