=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255314993
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANCIS ZAYAS MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/28/2005
-----------------------------------------------------
Last Update Date | 11/18/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | EDIF PARRAS PONCE BY PASS STE 506
-----------------------------------------------------
City | PONCE
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00717-1321
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-842-1520
-----------------------------------------------------
Fax | 787-842-1521
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 609 AVE TITO CASTRO STE 102 PMB 354
-----------------------------------------------------
City | PONCE
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00716-2232
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-842-1520
-----------------------------------------------------
Fax | 787-842-1521
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RG0100X
-----------------------------------------------------
Taxonomy Name | Gastroenterology Physician
-----------------------------------------------------
License Number | 14266
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------