Healthcare Provider Details

I. General information

NPI: 1851849343
Provider Name (Legal Business Name): CARLOS MANUEL ZAPATA-REYES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: CARLOS MANUEL ZAPATA REYES MD

II. Dates (important events)

Enumeration Date: 09/14/2016
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20911 NW 2ND AVE
MIAMI FL
33169-2105
US

IV. Provider business mailing address

20911 NW 2ND AVE
MIAMI GARDENS FL
33169-2105
US

V. Phone/Fax

Practice location:
  • Phone: 786-297-0070
  • Fax: 786-265-0974
Mailing address:
  • Phone: 786-297-0070
  • Fax: 786-265-0974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberS8940
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME162522
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: