Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | CI0004034 | DE |
Y | 207R00000X | Internist | CI0004034 | DE |
Y | 111NI0900X | Internist | CI0004034 | DE |
N | 207RI0200X | Infectious Disease | CI0004034 | DE |
NPI | 1013095587 |
---|---|
Provider Name | Antonio L Zarraga |
First Address | Dover, DE 19901-3530 |
Second Address | Milford, DE 19963-4366 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 12/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000459801 | (05) | DE |
00A053Z56 | MEDICARE (01) | DE |
100803 | COVENTRY (01) | DE |
4284720 | AETNA (01) | DE |
510401INF | BCBS SPECIALIST (01) | DE |
882215 | OPTIMUM CHOICE (01) | DE |
898332 | AETUS (01) | DE |
F47539 | (02) | |
F47539 | BCBS DE (01) | DE |