Provider Demographics
NPI:1417969437
Name:LOVINA-ANDRES, ZENAIDA R (MD)
Entity Type:Individual
Prefix:
First Name:ZENAIDA
Middle Name:R
Last Name:LOVINA-ANDRES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21529 MONTCLARE BLVD
Mailing Address - Street 2:
Mailing Address - City:STRONGVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44149
Mailing Address - Country:US
Mailing Address - Phone:440-572-4202
Mailing Address - Fax:
Practice Address - Street 1:21529 MONTCLARE BLVD
Practice Address - Street 2:
Practice Address - City:STRONGVILLE
Practice Address - State:OH
Practice Address - Zip Code:44149
Practice Address - Country:US
Practice Address - Phone:440-572-4202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA35995207L00000X
OH35046622207L00000X
WAMD00039808207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0560414Medicaid
OH0560414Medicaid