Organization Active NPI

ZCR Id Consulting LLC

  • Infectious Disease Physician
  • San Sebastian, PR
National Provider Identifier
1336632702
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
18421 Issued in PR
Legal business name
ZCR ID CONSULTING LLC
Practice address
Carr 445 KM 2.7
Barrio Saltos
San Sebastian, PR 00685
Phone
(787) 249-6472
NPI assigned
Jun 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Dr. Zaydalee Cardona Rodriguez, MDNPI 1174852248
Title
President
Phone
(787) 249-6472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 18421 PR Primary

Addresses

Primary practice location

Carr 445 KM 2.7
Barrio Saltos
San Sebastian, PR 00685

Mailing address

HC 6 Box 17376
San Sebastian, PR 00685-9926
Phone (787) 249-6472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200730001684 PR Part B Supplier - Clinic/Group Practice 2163847732 Receives reassigned benefits from 1 practitioner
Practice locations: Aguadilla, PR; Moca, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1336632702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 6 BOX 17376",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006859926",
            "telephone_number": "787-249-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 445 KM 2.7",
            "address_2": "BARRIO SALTOS",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-249-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZCR ID CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "CARDONA RODRIGUEZ",
        "authorized_official_first_name": "ZAYDALEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-249-6472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PR",
            "license": "18421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.