Healthcare Provider Details

I. General information

NPI: 1124026299
Provider Name (Legal Business Name): BRICIA O TORO DE ZAREI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 03/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 CALLE MILAGROS
BROWNSVILLE TX
78526-3354
US

IV. Provider business mailing address

1200 CALLE MILAGROS
BROWNSVILLE TX
78526-3354
US

V. Phone/Fax

Practice location:
  • Phone: 956-350-2508
  • Fax: 956-350-2509
Mailing address:
  • Phone: 956-350-2508
  • Fax: 956-350-2509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberL5156
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: