Provider Demographics
NPI:1437489754
Name:ZAVALA MELENDEZ RADIOLOGY PSC
Entity Type:Organization
Organization Name:ZAVALA MELENDEZ RADIOLOGY PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAVALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-860-3400
Mailing Address - Street 1:1357 AVE ASHFORD
Mailing Address - Street 2:PMB 271
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1400
Mailing Address - Country:US
Mailing Address - Phone:787-860-3400
Mailing Address - Fax:
Practice Address - Street 1:149 CALLE GUARAGUAO
Practice Address - Street 2:URB. MONETHIEDRA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7101
Practice Address - Country:US
Practice Address - Phone:787-860-3400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-08
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology