Provider Demographics
NPI:1982710182
Name:GONZALEZ ZAMORA, YOLANDA E
Entity Type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:E
Last Name:GONZALEZ ZAMORA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10419
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-0419
Mailing Address - Country:US
Mailing Address - Phone:787-848-8214
Mailing Address - Fax:787-290-8217
Practice Address - Street 1:1113 AVE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-0635
Practice Address - Country:US
Practice Address - Phone:787-848-8214
Practice Address - Fax:787-290-8217
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10082207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRPE2553OtherPAN AMERICAN LIFE
PR2296AOtherPREFERRED MEDICARE CHOICE
PR82505GOOtherTRIPLE S
PR069410OtherLA CRUZ AZUL DE PR
PR1278OtherAMERICAN HEALTH
PR660617779-2OtherMEDICAL CARD SYSTEM
PR209186OtherPREFERRED HEALTH PLAN
PR600266OtherMMM
PR1503OtherAMERICAN HEALTH MEDICARE
PR4039OtherINTERNATIONAL MEDICAL CAR
PR7330090OtherHUMANA
GA160059015OtherMEDICARE RAILROAD
PRP10082OtherREMEDIC
PR600266OtherMMM
82505Medicare ID - Type Unspecified