Healthcare Provider Details

I. General information

NPI: 1114664984
Provider Name (Legal Business Name): MARIA DANIELA ORELLANA ZAMBRANO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2022
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 NW 14TH ST FL STREET13
MIAMI FL
33136-2107
US

IV. Provider business mailing address

920 MADISON AVE RM 532
MEMPHIS TN
38103-3438
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-2742
  • Fax:
Mailing address:
  • Phone: 901-448-5814
  • Fax: 901-448-7836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
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: