MEDICARE: DR. ZAMARIE ALSINA POMALES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	11333	PR

General Provider Information

NPI Number	:	1104815083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZAMARIE ALSINA POMALES M.D.

Provider Business Mailing Address
First Line	:	PO BOX 70171
Second Line	:	PMB 189
City	:	SAN JUAN
State	:	PR
Zip	:	00936-8171
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	725 PONCE DE LEON AVE
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00917-5014
Country	:	US
Telephone Number	:	787-758-6650
Fax Number	:	787-294-0317

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	01/03/2008

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