Rafael H Zaragoza Urdaz MD CSP

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

RAFAEL H ZARAGOZA URDAZ MD CSP

Practice address

317 Ave Manuel Domenech
San Juan, PR 00918-3511

Phone

(787) 764-5715

Fax

(787) 764-3709

NPI assigned

Nov 23, 2009

Last updated

Dec 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rafael H Zaragoza Urdaz, MD, PHDNPI 1023166055

Title

President

Phone

(787) 764-5715

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rafael H Zaragoza Urdaz, M.D., PH.D.

  • Allergy Physician
  • San Juan, PR
  • NPI 1023166055

  Allergy & Immunology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670630400000",
    "number": "1376871863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 AVE MANUEL DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183511",
            "telephone_number": "787-764-5715",
            "fax_number": "787-764-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 AVE MANUEL DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183511",
            "telephone_number": "787-764-5715",
            "fax_number": "787-764-3709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 493 KM 0.9",
            "address_2": "DEL NORTE PROFESSIONAL CENTER SUITE 304",
            "address_purpose": "LOCATION",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "country_code": "US",
            "telephone_number": "787-878-2210",
            "fax_number": "787-764-3709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAFAEL H ZARAGOZA URDAZ MD CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2022-12-10",
        "certification_date": "2022-12-10",
        "status": "A",
        "authorized_official_last_name": "ZARAGOZA URDAZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-764-5715",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Medical Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2022; 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.