MEDICARE: DR. ZAIDA BORIA M.D.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	3883	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3883	OTHER	PR	LICENSE NUMBER

General Provider Information

NPI Number	:	1376636480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZAIDA BORIA M.D.

Provider Business Mailing Address
First Line	:	RR 36 BOX 1362
Second Line	:	SAN JUAN
City	:	SAN JUAN
State	:	PR
Zip	:	00926-9704
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	RR 36 BOX 1362
Second Line	:	SAN JUAN
City	:	SAN JUAN
State	:	PR
Zip	:	00926-9704
Country	:	US
Telephone Number	:	787-761-9270
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	07/21/2022

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