Provider Demographics
NPI:1184726333
Name:ZAPATA, RAFAEL HUMBERTO (MD)
Entity type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:HUMBERTO
Last Name:ZAPATA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:#19 1ST STREET
Mailing Address - Street 2:MANSIONES TINTILLO HILLS
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-1692
Mailing Address - Country:US
Mailing Address - Phone:787-793-1575
Mailing Address - Fax:787-781-2274
Practice Address - Street 1:#19 1ST STREET
Practice Address - Street 2:MANSIONES TINTILLO HILLS
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-1692
Practice Address - Country:US
Practice Address - Phone:787-793-1575
Practice Address - Fax:787-781-2274
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR25502080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2550OtherLIC PR
AZ4532784OtherDEA