Provider Demographics
NPI:1013235001
Name:ZANYA MEDICAL SERVICE, CSP
Entity Type:Organization
Organization Name:ZANYA MEDICAL SERVICE, CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ZANYA
Authorized Official - Middle Name:O
Authorized Official - Last Name:RIVERA SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-464-4680
Mailing Address - Street 1:PO BOX 250421
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00604
Mailing Address - Country:US
Mailing Address - Phone:787-464-4680
Mailing Address - Fax:
Practice Address - Street 1:CARR 1405 KM 1.2 BO CARRERAS
Practice Address - Street 2:
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610
Practice Address - Country:US
Practice Address - Phone:787-464-4680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service