Provider Demographics
NPI:1669466702
Name:ZENO, HELIOS A (MD)
Entity Type:Individual
Prefix:DR
First Name:HELIOS
Middle Name:A
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 2223
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-2223
Mailing Address - Country:US
Mailing Address - Phone:787-866-3527
Mailing Address - Fax:787-866-3527
Practice Address - Street 1:ALBIZU CAMPOS ESQ. LA HACIEDA
Practice Address - Street 2:SUITE 105
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784-0000
Practice Address - Country:US
Practice Address - Phone:787-864-4300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-05
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10118208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0082512Medicare ID - Type Unspecified
PRF18880Medicare UPIN