Provider Demographics
NPI:1972727493
Name:DE LIMA, MARIA ZENILDE A M (MD)
Entity type:Individual
Prefix:MRS
First Name:MARIA ZENILDE
Middle Name:A M
Last Name:DE LIMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:M. ZENILDE
Other - Middle Name:A M
Other - Last Name:DE LIMA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5030 CAMINO DE LA SIESTA
Mailing Address - Street 2:SUITE 308
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3119
Mailing Address - Country:US
Mailing Address - Phone:619-255-2100
Mailing Address - Fax:619-756-7050
Practice Address - Street 1:5030 CAMINO DE LA SIESTA
Practice Address - Street 2:SUITE 308
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3119
Practice Address - Country:US
Practice Address - Phone:619-255-2100
Practice Address - Fax:619-756-7050
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC533592084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC53359OtherMEDICAL BOARD OF CALIFORNIA
FL274613100Medicaid