Healthcare Provider Details
I. General information
NPI: 1225024623
Provider Name (Legal Business Name): FRANCISCO J ZAMORA ECHEVARRIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/21/2005
Last Update Date: 07/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
207 CALLE JUAN SAN ANTONIO
MOCA PR
00676-4146
US
IV. Provider business mailing address
PO BOX 951
MAYAGUEZ PR
00681-0951
US
V. Phone/Fax
- Phone: 787-383-4444
- Fax: 787-818-0279
- Phone: 787-383-4444
- Fax: 787-818-0279
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 8713 |
| License Number State | PR |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 8713 |
| License Number State | PR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: