Provider Demographics
NPI:1629366810
Name:ZARAGOZA-BUXO, LAURA GEORGINA (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:GEORGINA
Last Name:ZARAGOZA-BUXO
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:PO BOX 9457
Mailing Address - Street 2:COTTO STATION
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-9457
Mailing Address - Country:US
Mailing Address - Phone:787-878-2210
Mailing Address - Fax:
Practice Address - Street 1:DEL NORTE PROFESSIONAL CENTER
Practice Address - Street 2:CARRETERA 493 KM 0.9 BARRIO CARRIZALEZ SUITE 304
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-878-2210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-21
Last Update Date:2017-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18135208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice