Provider Demographics
NPI:1023616679
Name:ZAPATER, GEMMA CRISTINA (MD)
Entity type:Individual
Prefix:DR
First Name:GEMMA
Middle Name:CRISTINA
Last Name:ZAPATER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GEMMA
Other - Middle Name:CRISTINA
Other - Last Name:ZAPATER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:923 CALLE FUERTE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-2373
Mailing Address - Country:US
Mailing Address - Phone:787-439-4999
Mailing Address - Fax:
Practice Address - Street 1:923 CALLE FUERTE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-2373
Practice Address - Country:US
Practice Address - Phone:787-439-9999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-15
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18346208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice