MEDICARE: DR. JORGE ZARATE 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	0101056807	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	18854	OTHER	VA	SENTARA
2	7085020	OTHER		AETNA
3	541910047	OTHER		VA HEALTH NETWORK
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	603296	OTHER	PA	BC/BS OF PENNSYLVANIA
7	541910047	OTHER		FIRST HEALTH
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	371626	OTHER		MDIPA/MAMSI/OPTIMUM CHOIC
10	541910047	OTHER		CIGNA
11	0007085020	OTHER		AETNA US HEALTH
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	381726	OTHER	VA	ANTHEM BC/BS

General Provider Information

NPI Number	:	1962409193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JORGE ZARATE M.D.

Provider Business Mailing Address
First Line	:	3241 WESTERN BRANCH BLVD
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23321-5260
Country	:	US
Telephone Number	:	757-686-3508
Fax Number	:	757-686-0541

Provider Business Practice Location Address
First Line	:	830 KEMPSVILLE RD
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23502-3920
Country	:	US
Telephone Number	:	757-967-8622
Fax Number	:	757-686-0541

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

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	03/22/2019

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