Provider Demographics
NPI:1235333170
Name:ZORAYA O. ZUNIGA-MACARAIG MD, INC.
Entity Type:Organization
Organization Name:ZORAYA O. ZUNIGA-MACARAIG MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZORAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUNIGA-MACARAIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-239-4515
Mailing Address - Street 1:250 CHERRY LN
Mailing Address - Street 2:SUITE 111
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95337-4395
Mailing Address - Country:US
Mailing Address - Phone:209-239-4515
Mailing Address - Fax:209-239-7815
Practice Address - Street 1:250 CHERRY LN
Practice Address - Street 2:SUITE 111
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95337-4395
Practice Address - Country:US
Practice Address - Phone:209-239-4515
Practice Address - Fax:209-239-7815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA52552207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ16623ZMedicare ID - Type Unspecified
CAG03914Medicare UPIN