Provider Demographics
NPI:1134201833
Name:ZAPATER-MENGUEZ, CESAR P (MD)
Entity type:Individual
Prefix:
First Name:CESAR
Middle Name:P
Last Name:ZAPATER-MENGUEZ
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:PMB 616 89 DE DIEGO AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-6346
Mailing Address - Country:US
Mailing Address - Phone:787-405-3301
Mailing Address - Fax:
Practice Address - Street 1:712 PONCE DE LEON AVENUE
Practice Address - Street 2:
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-767-6160
Practice Address - Fax:787-758-6105
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3928207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
E15326Medicare UPIN
PR95200Medicare ID - Type Unspecified