Provider Demographics
NPI:1518521269
Name:ZENO, XAVIER EDDIN (MD)
Entity Type:Individual
Prefix:DR
First Name:XAVIER
Middle Name:EDDIN
Last Name:ZENO
Suffix:
Gender:M
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:PO BOX 1296
Mailing Address - Street 2:
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678-1296
Mailing Address - Country:US
Mailing Address - Phone:787-895-4010
Mailing Address - Fax:787-291-7238
Practice Address - Street 1:96 CALLE JOSE LINARES
Practice Address - Street 2:
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678
Practice Address - Country:US
Practice Address - Phone:787-895-4010
Practice Address - Fax:787-291-7238
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-29
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21754208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty