Provider Demographics
NPI:1184859134
Name:ZARAGOZA RIVERA, SHARON V (MD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:V
Last Name:ZARAGOZA RIVERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:CALLE J.CORTADA QUINTANA URB LAS DELICIAS
Mailing Address - Street 2:#2104
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728
Mailing Address - Country:US
Mailing Address - Phone:787-220-5420
Mailing Address - Fax:787-840-3030
Practice Address - Street 1:TORRE MEDICA SAN LUCAS 909
Practice Address - Street 2:AVE TITO CASTRO ST 717
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716
Practice Address - Country:US
Practice Address - Phone:787-841-5549
Practice Address - Fax:787-840-3030
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-20
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR16045208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice