Organization Active NPI

Consultorio Medico Dr Victor a Zapata LLC

  • Internal Medicine Physician
  • Bayamon, PR
National Provider Identifier
1336767771
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CONSULTORIO MEDICO DR VICTOR A ZAPATA LLC
Practice address
Ave Tnte Nelson Martinez Edif 500
Plaza Chevere Local 5 Alturas de Flamboyan
Bayamon, PR 00960
Phone
(787) 740-7945
Fax
(787) 780-7430
NPI assigned
Jul 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
Zapata Guzman A Victor, MD
Title
President
Phone
(787) 740-7945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

Ave Tnte Nelson Martinez Edif 500
Plaza Chevere Local 5 Alturas de Flamboyan
Bayamon, PR 00960

Mailing address

PO Box 752
Bayamon, PR 00960-0752
Phone (787) 740-7945

Other identifiers 1

IdentifierTypeStateIssuer
1699782235MedicaidPR

Other names 1

  • CONSULTORIO MEDICO DR VICTOR A ZAPATA LLC Former legal business name

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": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1336767771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 752",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600752",
            "telephone_number": "787-740-7945",
            "fax_number": "787-780-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE TNTE NELSON MARTINEZ EDIF 500",
            "address_2": "PLAZA CHEVERE LOCAL 5 ALTURAS DE FLAMBOYAN",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-740-7945",
            "fax_number": "787-780-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTORIO MEDICO DR VICTOR A ZAPATA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "VICTOR",
        "authorized_official_first_name": "ZAPATA GUZMAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-740-7945",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699782235",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONSULTORIO MEDICO DR VICTOR A ZAPATA LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.