Healthcare Provider Details

I. General information

NPI: 1760567879
Provider Name (Legal Business Name): DR. JOSE J. ZAMORA-ALVAREZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 03/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 ACACIAS
MAYAGUEZ PR
00680-6673
US

IV. Provider business mailing address

57 CALLE ACACIAS
MAYAGUEZ PR
00680-4733
US

V. Phone/Fax

Practice location:
  • Phone: 787-832-8333
  • Fax: 787-832-8333
Mailing address:
  • Phone: 787-832-8333
  • Fax: 787-832-8333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License Number8282
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number8282
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number8282
License Number StatePR
# 4
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number8282
License Number StatePR
# 5
Primary TaxonomyN
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License Number8282
License Number StatePR
# 6
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number8282
License Number StatePR
# 7
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number8282
License Number StatePR
# 8
Primary TaxonomyN
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License Number8282
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: