Healthcare Provider Details

I. General information

NPI: 1639708589
Provider Name (Legal Business Name): ZURI PLASTIC SURGERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 04/03/2020
Certification Date: 04/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8585 SW 72ND ST STE 107
MIAMI FL
33143-3746
US

IV. Provider business mailing address

8585 SW 72ND ST STE 107
MIAMI FL
33143-3746
US

V. Phone/Fax

Practice location:
  • Phone: 786-804-1603
  • Fax:
Mailing address:
  • Phone: 786-804-1603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: YALEXA ZURIARRAIN
Title or Position: MANAGER
Credential:
Phone: 786-804-1603