Healthcare Provider Details

I. General information

NPI: 1750486957
Provider Name (Legal Business Name): HENRY CATALA ZAYAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 04/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 2 KM 47.7
MANATI PR
00674
US

IV. Provider business mailing address

CALLE MARGARITA B 25 URB TERRAZAS DE GUAYNABO
GUAYNABO PR
00969-5401
US

V. Phone/Fax

Practice location:
  • Phone: 787-379-6262
  • Fax: 787-848-0318
Mailing address:
  • Phone: 787-379-6262
  • Fax: 787-848-0318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number12742
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: