Provider Demographics
NPI:1245266543
Name:PARRILLA, ZORAYA M (MD)
Entity type:Individual
Prefix:
First Name:ZORAYA
Middle Name:M
Last Name:PARRILLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 13047
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79913-3047
Mailing Address - Country:US
Mailing Address - Phone:915-333-2429
Mailing Address - Fax:915-599-4163
Practice Address - Street 1:10301 GATEWAY BLVD W
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7701
Practice Address - Country:US
Practice Address - Phone:915-595-9055
Practice Address - Fax:915-599-4163
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP87162081P0301X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P0301XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationBrain Injury Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX345794701Medicaid
FL2670712-00Medicaid
FLH03951Medicare UPIN
FL2670712-00Medicaid
MS3723090Medicaid