Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 18344 | PR |
N | 207R00000X | Internist | 18344 | PR |
N | 111NI0900X | Internist | 18344 | PR |
NPI | 1205088630 |
---|---|
Provider Name | Jose R. Zaragoza-Buxo |
First Address | Arecibo, PR 00613-9457 |
Second Address | Arecibo, PR 00612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2008 |
Last Update Date | 11/01/2016 |