Healthcare Provider Details

I. General information

NPI: 1932165669
Provider Name (Legal Business Name): ELSA M. ZAYAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7305 N MILITARY TRL
RIVIERA BEACH FL
33410-7417
US

IV. Provider business mailing address

7305 N MILITARY TRL
RIVIERA BEACH FL
33410-7417
US

V. Phone/Fax

Practice location:
  • Phone: 561-422-6412
  • Fax: 561-422-8686
Mailing address:
  • Phone: 561-422-6412
  • Fax: 561-422-8686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number107917
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number107917
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: