Healthcare Provider Details

I. General information

NPI: 1992844922
Provider Name (Legal Business Name): ELEANA M ZAMORA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNM HOSPITAL INTERNAL MEDICINE 2211 LOMAS BLVD NE MSC 10-5550
ALBUQUERQUE NM
87131-0001
US

IV. Provider business mailing address

800 BRADBURY DR SE STE 116
ALBUQUERQUE NM
87106-4310
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-4751
  • Fax: 505-272-8700
Mailing address:
  • Phone: 505-272-1476
  • Fax: 505-272-8700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD2006-0043
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD2006-0043
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: