Dzeus Corp.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DZEUS CORP.

Practice address

57 Calle Principal
Barranquitas, PR 00794-1631

Phone

(787) 333-0770

Fax

(561) 621-7526

NPI assigned

Jan 18, 2024

Organization subpart

No

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

Authorized official

Name

Obeth Soto

Title

Cfo

Phone

(787) 333-0770

Specialties & licenses 10

Addresses

Other names 4

• Dzeus Doing business as
• Dzeus Health Doing business as
• Dzeus Pharmacy Doing business as
• Dzeus Corp. Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Tax ID family

Dzeus Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dzeus Corp.

  • Mail Order Pharmacy
  • Isabela, PR
  • NPI 1720941545
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Dzeus Corp.

  • Mail Order Pharmacy
  • Isabela, PR
  • NPI 1720941545
  NPPES parent name

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teyshka Margarita Bassatt-Cabrera, MD

  • General Practice Physician
  • Aguada, PR
  • NPI 1548856651
  Medicare reassignment NPD
• Felipe Jose Fraticelli

  • General Practice Physician
  • San Juan, PR
  • NPI 1679232862
  Medicare reassignment NPD
• Wilnelia Montalvo

  • General Practice Physician
  • Isabela, PR
  • NPI 1417071853
  Medicare reassignment NPD
• Albertino Padin -Gomez, MD

  • Internal Medicine Physician
  • Aguadilla, PR
  • NPI 1528107968
  Medicare reassignment NPD
• Victor M Salgado Bravo, M.D.

  • Cardiovascular Disease Physician
  • Arecibo, PR
  • NPI 1285842153
  Medicare reassignment NPD

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1205697141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7508 AVE SFC AGUSTIN RAMOS CALERO",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006625228",
            "telephone_number": "787-333-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 CALLE PRINCIPAL",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007941631",
            "telephone_number": "787-333-0770",
            "fax_number": "561-621-7526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7508 Ave Sfc Agustin Ramos Calero",
            "address_purpose": "LOCATION",
            "city": "Isabela",
            "state": "PR",
            "postal_code": "006625228",
            "country_code": "US",
            "telephone_number": "787-333-0770",
            "fax_number": "561-621-7526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DZEUS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "OBETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "787-333-0770"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dzeus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dzeus Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dzeus Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dzeus Corp.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Emanuel Diaz Vazquez, PHARMD
• Karla M Diaz Zayas, MD
• Gloria Esther Diaz, 920
• Javier Diaz
• Dra. Felicia Estrella Rios LLC
• El Senor de Los Dientes LLC
• Emson Corp
• Roberto Encarnacion, MD
• Esg Group LLC
• Felicia Estrella Rios, PSYD

• General Practice Physician in Barranquitas, PR
• Providers in Barranquitas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.