MEDICARE: DR. PEDRO JAIME ZAYAS SANTOS MD FAAFP

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	207Q00000X	Family Medicine Physician	5973	PR

General Provider Information

NPI Number	:	1508838590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PEDRO JAIME ZAYAS SANTOS MD FAAFP

Provider Business Mailing Address
First Line	:	PO BOX 14275
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00916-4275
Country	:	US
Telephone Number	:	787-727-1105
Fax Number	:	787-268-6088

Provider Business Practice Location Address
First Line	:	523 CALLE LUTZ
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00915-4315
Country	:	US
Telephone Number	:	787-727-1105
Fax Number	:

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

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	03/10/2017

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