Healthcare Provider Details

I. General information

NPI: 1821245176
Provider Name (Legal Business Name): GILBERTO A ZIRIO CSA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2008
Last Update Date: 09/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3661 S. MIAMI AVE SUITE 708
MIAMI FL
33133-4206
US

IV. Provider business mailing address

3661 S. MIAMI AVE SUITE 708
MIAMI FL
33133-4206
US

V. Phone/Fax

Practice location:
  • Phone: 305-251-3991
  • Fax: 305-251-7982
Mailing address:
  • Phone: 305-251-3991
  • Fax: 305-251-7982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: