Provider Demographics
NPI:1205909124
Name:ZELAYA, ARNALDO FRANCISCO (PA-C)
Entity type:Individual
Prefix:MR
First Name:ARNALDO
Middle Name:FRANCISCO
Last Name:ZELAYA
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:MR
Other - First Name:ARNALDO
Other - Middle Name:FRANCISCO
Other - Last Name:ZELAYACASTRO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7252 KWAJALEIN DR APT A
Mailing Address - Street 2:
Mailing Address - City:FORT CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80913-3234
Mailing Address - Country:US
Mailing Address - Phone:719-559-7510
Mailing Address - Fax:
Practice Address - Street 1:BLDG #1041 BARKLEY AVE
Practice Address - Street 2:DIRAIMANDO MEDICAL CLINIC
Practice Address - City:FORT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913
Practice Address - Country:US
Practice Address - Phone:719-524-2047
Practice Address - Fax:719-524-3526
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
1054336OtherNCCPA CERTIFICATION #