Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 18346 | PR |
NPI | 1023616679 |
---|---|
Provider Name | Dr. Gemma Cristina Zapater |
First Address | Albuquerque, NM 87113-2373 |
Second Address | Albuquerque, NM 87113-2373 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2020 |
Last Update Date | 20/10/2020 |