Healthcare Provider Details

I. General information

NPI: 1609660836
Provider Name (Legal Business Name): RODY ZAPATA NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 EAST 25TH STREET 4TH FLOOR
HIALEAH FL
33013
US

IV. Provider business mailing address

522 EAST 25TH STREET 4TH FLOOR
HIALEAH FL
33013
US

V. Phone/Fax

Practice location:
  • Phone: 786-584-5600
  • Fax:
Mailing address:
  • Phone: 786-584-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11037992
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: