MEDICARE: DR. ZENAIDA ESPINO SANTOS 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	207R00000X	Internal Medicine Physician	160547	NY

General Provider Information

NPI Number	:	1396743266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZENAIDA ESPINO SANTOS M.D.

Provider Business Mailing Address
First Line	:	7610 34TH AVE
Second Line	:	SUITE 1E
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-2270
Country	:	US
Telephone Number	:	718-397-0265
Fax Number	:	718-424-4545

Provider Business Practice Location Address
First Line	:	7610 34TH AVE
Second Line	:	SUITE 1E
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-2270
Country	:	US
Telephone Number	:	718-397-0265
Fax Number	:	718-424-4545

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	10/06/2010

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