Provider Demographics
NPI:1548406481
Name:ZERBI-ORTIZ, ALFONSO (MD12)
Entity Type:Individual
Prefix:
First Name:ALFONSO
Middle Name:
Last Name:ZERBI-ORTIZ
Suffix:
Gender:M
Credentials:MD12
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SAN PATRICIO MEADOWS
Mailing Address - Street 2:MEADOWS A-2
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968
Mailing Address - Country:US
Mailing Address - Phone:787-783-0367
Mailing Address - Fax:787-783-0367
Practice Address - Street 1:A2 CALLE MEADOWS
Practice Address - Street 2:SAN PATRICIO MEADOWS
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-3201
Practice Address - Country:US
Practice Address - Phone:787-783-0367
Practice Address - Fax:787-783-0367
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-24
Last Update Date:2008-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1509261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty