Healthcare Provider Details

I. General information

NPI: 1598692899
Provider Name (Legal Business Name): A&E ZARAGOZA PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8840 NW 147TH LN
MIAMI LAKES FL
33018-7371
US

IV. Provider business mailing address

8840 NW 147TH LN
MIAMI LAKES FL
33018-7371
US

V. Phone/Fax

Practice location:
  • Phone: 786-622-3276
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JAIME ZARAGOZA SOSA
Title or Position: PRESIDENT
Credential: NP
Phone: 786-622-3276