Provider Demographics
NPI:1790721090
Name:ZORRILLA, LEOPOLDO (MD)
Entity Type:Individual
Prefix:
First Name:LEOPOLDO
Middle Name:
Last Name:ZORRILLA
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 1:4330 MEDICAL DR
Mailing Address - Street 2:SUITE 325
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3342
Mailing Address - Country:US
Mailing Address - Phone:210-615-7700
Mailing Address - Fax:210-615-1782
Practice Address - Street 1:4330 MEDICAL DR
Practice Address - Street 2:SUITE 325
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3342
Practice Address - Country:US
Practice Address - Phone:210-615-7700
Practice Address - Fax:210-615-1782
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist