Provider Demographics
NPI:1205882289
Name:ZAPATA-MOLINA, NILDA JEANNETTE (MD)
Entity type:Individual
Prefix:MRS
First Name:NILDA
Middle Name:JEANNETTE
Last Name:ZAPATA-MOLINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7145
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-7145
Mailing Address - Country:US
Mailing Address - Phone:787-813-1836
Mailing Address - Fax:787-813-1836
Practice Address - Street 1:863 CAMPECHE ST
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:787-813-1836
Practice Address - Fax:787-813-1836
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7914207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
D95207Medicare UPIN
81203Medicare ID - Type Unspecified