Provider Demographics
NPI:1184712770
Name:ESTELA JOVE, ZORAIDA E
Entity type:Individual
Prefix:DR
First Name:ZORAIDA
Middle Name:E
Last Name:ESTELA JOVE
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:ZORAIDA
Other - Middle Name:E
Other - Last Name:ESTELA JOVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:525 AVE FD ROOSEVELT
Mailing Address - Street 2:TORRE DE PLAZA LAS AMERICAS STE 403
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-8050
Mailing Address - Country:US
Mailing Address - Phone:787-474-0820
Mailing Address - Fax:787-523-1929
Practice Address - Street 1:525 AVE FD ROOSEVELT
Practice Address - Street 2:LA TORRE DE PLAZA LAS AMERICAS OFICINA 403
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-8001
Practice Address - Country:US
Practice Address - Phone:787-474-0820
Practice Address - Fax:787-523-0955
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR141422085B0100X, 2085N0700X, 2085P0229X, 2085U0001X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR14142OtherLICENCE