MEDICARE: DZEUS CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3336C0003X	Community/Retail Pharmacy
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
3	261Q00000X	Clinic/Center
4	103T00000X	Psychologist
5	363L00000X	Nurse Practitioner
6	3336M0002X	Mail Order Pharmacy
7	261QP2300X	Primary Care Clinic/Center
8	363A00000X	Physician Assistant
9	333600000X	Pharmacy
10	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1205697141
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DZEUS CORP.

Provider Business Mailing Address
First Line	:	7508 AVE SFC AGUSTIN RAMOS CALERO
Second Line	:
City	:	ISABELA
State	:	PR
Zip	:	00662-5228
Country	:	US
Telephone Number	:	787-333-0770
Fax Number	:

Provider Business Practice Location Address
First Line	:	57 CALLE PRINCIPAL
Second Line	:
City	:	BARRANQUITAS
State	:	PR
Zip	:	00794-1631
Country	:	US
Telephone Number	:	787-333-0770
Fax Number	:	561-621-7526

Authorized Official
Title or Position	:	CFO
Name	:	OBETH SOTO
Credential	:
Telephone Number	:	787-333-0770

Provider Enumeration Date	:	01/18/2024
Last Update Date	:	12/01/2025

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Directions to “DZEUS CORP. ” Practice Location

Language	Start Address	Practice Location

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