Healthcare Provider Details

I. General information

NPI: 1407979529
Provider Name (Legal Business Name): JORGE A GARCIA-ZUAZAGA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7580 AUBURN RD STE 301
CONCORD TOWNSHIP OH
44077-9618
US

IV. Provider business mailing address

29111 CEDAR RD
MAYFIELD HEIGHTS OH
44124-4005
US

V. Phone/Fax

Practice location:
  • Phone: 440-352-7546
  • Fax: 440-352-5260
Mailing address:
  • Phone: 440-646-1600
  • Fax: 440-646-1505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number35-084764
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number35-084764
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number35-084764
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: