Healthcare Provider Details

I. General information

NPI: 1760863252
Provider Name (Legal Business Name): ZM SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2015
Last Update Date: 06/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

A4 CALLE MARGINAL COSTA DE ORO
DORADO PR
00646-2004
US

IV. Provider business mailing address

A4 CALLE MARGINAL COSTA DE ORO
DORADO PR
00646-2004
US

V. Phone/Fax

Practice location:
  • Phone: 787-796-4688
  • Fax: 787-278-2660
Mailing address:
  • Phone: 787-796-4688
  • Fax: 787-278-2660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2909
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number2832
License Number StatePR

VIII. Authorized Official

Name: HELIOS A ZENO
Title or Position: PRESIDENT
Credential: DMD
Phone: 787-796-4688