Individual provider Active NPI

Jan Pierre Zegarra, MD

  • Surgery of the Hand (Surgery) Physician
  • Guaynabo, PR
National Provider Identifier
1093819112
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
4763 Issued in PR
Practice address
Edificio Bucare
Urb Bucare, Calle Turquesa 2050
Guaynabo, PR 00969
Phone
(787) 758-5034
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X 4763 PR Primary

Addresses

Primary practice location

Edificio Bucare
Urb Bucare, Calle Turquesa 2050
Guaynabo, PR 00969

Mailing address

PO Box 270-080
San Juan, PR 00928-2780
Phone (787) 763-5670

Other identifiers 2

IdentifierTypeStateIssuer
1700109OtherHUMANA HEALTH
25716OtherTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120924000615 PR Practitioner - Hand Surgery 3476701020 Practice locations: Guaynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
University of Puerto Rico School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2050 Calle Turquesa
Guaynabo, PR 00969-5106
Phone (787) 863-5670

Urb Bucare
2050 Calle Turquesa
Guaynabo, PR 00969-5106

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4763PRMDSurgery of the Hand (Surgery) Physician

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1093819112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270-080",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009282780",
            "telephone_number": "787-763-5670",
            "fax_number": "787-753-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO BUCARE",
            "address_2": "URB BUCARE, CALLE TURQUESA 2050",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-758-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEGARRA",
        "first_name": "JAN",
        "middle_name": "PIERRE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2023-07-06",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "PR",
            "license": "4763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH",
            "identifier": "1700109",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TS",
            "identifier": "25716",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.