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NPI Code Detail

MEDICARE: CHARLES EDWARD ZIERENBERG M.D.

MEDICARE: CHARLES EDWARD ZIERENBERG 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
1207X00000XOrthopaedic Surgery Physician8561PR

General Provider Information

NPI Number : 1114992948
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES EDWARD ZIERENBERG M.D.
Provider Business Mailing Address
First Line : PO BOX 29134
Second Line : DEPARTAMENTO DE ORTOPEDIA RCM
City : SAN JUAN
State : PR
Zip : 00929-0134
Country : US
Telephone Number : 787-764-6095
Fax Number : 787-620-0714
Provider Business Practice Location Address
First Line : ORTOPEDIA RCM PISO 9 SUITE 595
Second Line : CENTRO MEDICO DE PR, BO. MONACILLOS
City : RIO PIEDRAS
State : PR
Zip : 00935
Country : US
Telephone Number : 787-764-5095
Fax Number : 787-620-0714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 04/22/2011

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