Provider Demographics
NPI:1396112520
Name:DR. ALBERTO ZAMOT CARMONA, P.S.C.
Entity type:Organization
Organization Name:DR. ALBERTO ZAMOT CARMONA, P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GASTROENTEROLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:ZAMOT CARMONA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-998-0698
Mailing Address - Street 1:1357 ASHFORD AVE
Mailing Address - Street 2:PMB 198
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CARR 693 ESQ AVE JOSE EFRON
Practice Address - Street 2:LOCAL 24 PLAZA DORADA
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:787-665-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17570207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRHT717AOtherMEDICARE PTAN