Provider Demographics
NPI:1942204987
Name:PADILLA-ZAPATA, ISABEL TERESA (MD)
Entity Type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:TERESA
Last Name:PADILLA-ZAPATA
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:P.O. BOX 279
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-0279
Mailing Address - Country:US
Mailing Address - Phone:787-372-1827
Mailing Address - Fax:787-758-9779
Practice Address - Street 1:500 AVE MUNOZ RIVERA
Practice Address - Street 2:COND. EL CENTRO II OFICINA 33C
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3300
Practice Address - Country:US
Practice Address - Phone:787-764-9606
Practice Address - Fax:787-758-9779
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-08
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8898208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE-04123Medicare UPIN
PR0080929Medicare PIN