Provider Demographics
NPI:1841419553
Name:GRUPO ZAITER Y RODRIGUEZ
Entity Type:Organization
Organization Name:GRUPO ZAITER Y RODRIGUEZ
Other - Org Name:GRUPO ZAITER Y RODRIGUEZ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARIA DE FACTURACION
Authorized Official - Prefix:
Authorized Official - First Name:JANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ CANALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-763-1025
Mailing Address - Street 1:TORRE MEDICA DEL AUXILIO MUTO 735 AVE PONCE DE LEON
Mailing Address - Street 2:SUITE 816
Mailing Address - City:HATO REY
Mailing Address - State:PR
Mailing Address - Zip Code:00917
Mailing Address - Country:US
Mailing Address - Phone:787-763-1025
Mailing Address - Fax:787-250-1928
Practice Address - Street 1:TORRE MEDICA DEL AUXILIO MUTO 735 AVE PONCE DE LEON
Practice Address - Street 2:SUITE 816
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00917
Practice Address - Country:US
Practice Address - Phone:787-763-1025
Practice Address - Fax:787-250-1928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR82099Medicare UPIN