Provider Demographics
NPI:1518913771
Name:ZAMBRANA, HJALMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:HJALMAR
Middle Name:
Last Name:ZAMBRANA
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 379
Mailing Address - Street 2:
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-0379
Mailing Address - Country:US
Mailing Address - Phone:787-897-2727
Mailing Address - Fax:787-897-2725
Practice Address - Street 1:LOS PATRIOTAS AVE.
Practice Address - Street 2:ROAD 111 KM. 1.9
Practice Address - City:LARES
Practice Address - State:PR
Practice Address - Zip Code:00669-0379
Practice Address - Country:US
Practice Address - Phone:787-897-2727
Practice Address - Fax:787-897-2725
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11361208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG06817Medicare UPIN