Healthcare Provider Details

I. General information

NPI: 1295765865
Provider Name (Legal Business Name): IGNACIO ARTURO ZABALETA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 04/26/2021
Certification Date: 04/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 ALTON ROAD BLUM BLDG 3RD FLOOR
MIAMI BEACH FL
33140
US

IV. Provider business mailing address

4300 ALTON RD ASCHER BLDG, 2ND FL
MIAMI BEACH FL
33140-2800
US

V. Phone/Fax

Practice location:
  • Phone: 305-674-2727
  • Fax: 305-674-2306
Mailing address:
  • Phone: 305-674-3977
  • Fax: 305-535-7919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberME48098
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: