Provider Demographics
NPI:1205088630
Name:ZARAGOZA-BUXO, JOSE R (M D)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:R
Last Name:ZARAGOZA-BUXO
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9457
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-9457
Mailing Address - Country:US
Mailing Address - Phone:787-238-5801
Mailing Address - Fax:
Practice Address - Street 1:ZONA INDUSTRIAL VICTOR ROJAS 2
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-238-5801
Practice Address - Fax:787-650-2136
Is Sole Proprietor?:No
Enumeration Date:2008-10-16
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18344207R00000X, 207K00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program