Healthcare Provider Details

I. General information

NPI: 1184726333
Provider Name (Legal Business Name): RAFAEL HUMBERTO ZAPATA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

#19 1ST STREET MANSIONES TINTILLO HILLS
GUAYNABO PR
00966-1692
US

IV. Provider business mailing address

#19 1ST STREET MANSIONES TINTILLO HILLS
GUAYNABO PR
00966-1692
US

V. Phone/Fax

Practice location:
  • Phone: 787-793-1575
  • Fax: 787-781-2274
Mailing address:
  • Phone: 787-793-1575
  • Fax: 787-781-2274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number2550
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: