Healthcare Provider Details

I. General information

NPI: 1770488090
Provider Name (Legal Business Name): GELMIS ZAYAS RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6424 18TH AVE
BROOKLYN NY
11204-3729
US

IV. Provider business mailing address

300 SKYVIEW ST APT G3
EL PASO TX
79912-3134
US

V. Phone/Fax

Practice location:
  • Phone: 914-510-2273
  • Fax:
Mailing address:
  • Phone: 915-493-3903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberN34913
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: