MEDICARE: DR. LUIS E ZAYAS-RODRIGUEZ MD

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	2084N0400X	Neurology Physician	62582	TN

General Provider Information

NPI Number	:	1184823312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUIS E ZAYAS-RODRIGUEZ MD

Provider Business Mailing Address
First Line	:	155 FRANK L DIGGS DR
Second Line	:
City	:	CLINTON
State	:	TN
Zip	:	37716-6953
Country	:	US
Telephone Number	:	865-666-4411
Fax Number	:	615-538-9421

Provider Business Practice Location Address
First Line	:	155 FRANK L DIGGS DR
Second Line	:
City	:	CLINTON
State	:	TN
Zip	:	37716-6953
Country	:	US
Telephone Number	:	865-666-4411
Fax Number	:	615-538-9421

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

Provider Enumeration Date	:	07/17/2007
Last Update Date	:	05/13/2025

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