Provider Demographics
NPI:1841362530
Name:ZAYAS, JOSE M (DMD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:M
Last Name:ZAYAS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:683 CALLE ACUARIO
Mailing Address - Street 2:VENUS GARDENS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4814
Mailing Address - Country:US
Mailing Address - Phone:787-862-7102
Mailing Address - Fax:
Practice Address - Street 1:39 CALLE PRINCIPAL
Practice Address - Street 2:
Practice Address - City:MOROVIS
Practice Address - State:PR
Practice Address - Zip Code:00687-3051
Practice Address - Country:US
Practice Address - Phone:787-862-7102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR020171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice