Healthcare Provider Details

I. General information

NPI: 1073225272
Provider Name (Legal Business Name): ZI-MED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2022
Last Update Date: 12/19/2022
Certification Date: 12/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1507 AVE JUAN PONCE DE LEON
SAN JUAN PR
00909
US

IV. Provider business mailing address

3 CARR 833 APT 1003 COND. TORRE SAN MIGUEL
GUAYNABO PR
00969
US

V. Phone/Fax

Practice location:
  • Phone: 939-475-1414
  • Fax:
Mailing address:
  • Phone: 787-360-7479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ALBERTO ZABALA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 787-518-4558