Healthcare Provider Details

I. General information

NPI: 1265669113
Provider Name (Legal Business Name): ALEXANDER ZURIARRAIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8396 SW 8TH ST
MIAMI FL
33144-4180
US

IV. Provider business mailing address

6541 SW 76TH TER
MIAMI FL
33143
US

V. Phone/Fax

Practice location:
  • Phone: 305-615-4200
  • Fax:
Mailing address:
  • Phone: 305-798-2453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberME121702
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: