MEDICARE: DR. MARICEL ZAYAS D.O

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0102203049	VA
2	207R00000X	Internal Medicine Physician	OS14969	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	OS14969	OTHER	FL	FL MEDICAL LICENSE
2	0102203049	OTHER	VA	VA MEDICAL LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750609442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARICEL ZAYAS D.O

Provider Business Mailing Address
First Line	:	1355 S INTERNATIONAL PKWY STE 1451
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-1694
Country	:	US
Telephone Number	:	407-333-9888
Fax Number	:	407-333-9444

Provider Business Practice Location Address
First Line	:	2075 TOWN CTR BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-6803
Country	:	US
Telephone Number	:	321-274-4313
Fax Number	:	855-576-4910

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2010
Last Update Date	:	02/11/2026

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