Healthcare Provider Details

I. General information

NPI: 1073215919
Provider Name (Legal Business Name): NARYELBA ROSMARY SAEZ ZAMBRANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE
MIAMI FL
33136-1005
US

IV. Provider business mailing address

300 NE 125TH ST APT 404
NORTH MIAMI FL
33161-4672
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-6042
  • Fax:
Mailing address:
  • Phone: 239-288-9335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2026-03284
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: