Provider Demographics
NPI:1720811029
Name:ZAPATA SALAZAR, NEREO (MD)
Entity type:Individual
Prefix:
First Name:NEREO
Middle Name:
Last Name:ZAPATA SALAZAR
Suffix:
Gender:M
Credentials:MD
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 724
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-0724
Mailing Address - Country:US
Mailing Address - Phone:939-732-0316
Mailing Address - Fax:
Practice Address - Street 1:URB. LA HACIENDA, AVENIDA PEDRO ALBIZU CAMPOS
Practice Address - Street 2:HOSPITAL MENONITA GUAYAMA, SUITE 307
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784
Practice Address - Country:US
Practice Address - Phone:787-864-4300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR24100208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice