Healthcare Provider Details

I. General information

NPI: 1871437129
Provider Name (Legal Business Name): GENESIS MARIANA FERRER ZAVALA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 W FLAGLER ST
CORAL GABLES FL
33134-1604
US

IV. Provider business mailing address

8833 NW 107TH CT UNIT 208
DORAL FL
33178-2131
US

V. Phone/Fax

Practice location:
  • Phone: 305-774-3400
  • Fax:
Mailing address:
  • Phone: 801-921-2096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberTRN46394
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: