Healthcare Provider Details

I. General information

NPI: 1437489754
Provider Name (Legal Business Name): ZAVALA MELENDEZ RADIOLOGY PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2010
Last Update Date: 05/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149 CALLE GUARAGUAO URB. MONETHIEDRA
SAN JUAN PR
00926-7101
US

IV. Provider business mailing address

1357 AVE ASHFORD PMB 271
SAN JUAN PR
00907-1400
US

V. Phone/Fax

Practice location:
  • Phone: 787-860-3400
  • Fax:
Mailing address:
  • Phone: 787-860-3400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. OSCAR ZAVALA
Title or Position: PRESIDENTE
Credential: M.D.
Phone: 787-860-3400