Healthcare Provider Details

I. General information

NPI: 1306946660
Provider Name (Legal Business Name): ZELMA BAYRON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 SUITE 1 CENTRO PEDIATRICO
MAYAGUEZ PR
00680
US

IV. Provider business mailing address

PO BOX 1537
MAYAGUEZ PR
00681
US

V. Phone/Fax

Practice location:
  • Phone: 787-834-5830
  • Fax: 787-832-6015
Mailing address:
  • Phone: 787-805-0062
  • Fax: 787-832-6015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number6710
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: