Provider Demographics
NPI:1245423466
Name:ZAMOT CARMONA, ALBERTO (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:
Last Name:ZAMOT CARMONA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ALBERTO
Other - Middle Name:
Other - Last Name:ZAMOT CARMONA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PMB 198 1357 ASHFORD AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-0001
Mailing Address - Country:US
Mailing Address - Phone:787-299-4972
Mailing Address - Fax:
Practice Address - Street 1:CARR 693, ESQUINA AVE. JOSE EFRAIN
Practice Address - Street 2:DOCTORS HEATH CENTER DORADO CLINIC # 24, PLAZA DORADA
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-4810
Practice Address - Country:US
Practice Address - Phone:787-626-2233
Practice Address - Fax:787-665-0101
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17570207RG0100X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRHT717AMedicare PIN