Healthcare Provider Details

I. General information

NPI: 1669167581
Provider Name (Legal Business Name): ZOGIMA HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 04/14/2023
Certification Date: 04/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVENIDA DOMENECH 400 SUITE 412
SAN JUAN PR
00918
US

IV. Provider business mailing address

400 AVE DOMENECH STE 412D
SAN JUAN PR
00918-3710
US

V. Phone/Fax

Practice location:
  • Phone: 787-552-6843
  • Fax:
Mailing address:
  • Phone: 787-552-6843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BERNIE RODRIGUEZ MALPICA
Title or Position: PRESIDENT
Credential: MD
Phone: 787-519-7807