Healthcare Provider Details

I. General information

NPI: 1992424352
Provider Name (Legal Business Name): ZARITZA ZOE CAJIGAS VEGA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2022
Last Update Date: 08/26/2022
Certification Date: 08/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AV. 65 INFANTERIA KM 8. P.R. 3 CALLE 3
CAROLINA PR
00984
US

IV. Provider business mailing address

J7 CALLE F
GUAYNABO PR
00966-2319
US

V. Phone/Fax

Practice location:
  • Phone: 787-757-1800
  • Fax:
Mailing address:
  • Phone: 787-517-2771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number6349
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: