Healthcare Provider Details

I. General information

NPI: 1689973638
Provider Name (Legal Business Name): APEX DERMATOLOGY AND SKIN SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2011
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29111 CEDAR RD
MAYFIELD HEIGHTS OH
44124-4005
US

IV. Provider business mailing address

29111 CEDAR RD
MAYFIELD HTS OH
44124-4005
US

V. Phone/Fax

Practice location:
  • Phone: 440-646-1600
  • Fax: 440-443-0414
Mailing address:
  • Phone: 440-646-1600
  • Fax: 440-443-0414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number35084764
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number35084764
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number35084764
License Number StateOH

VIII. Authorized Official

Name: JORGE GARCIA-ZUAZAGA
Title or Position: PRESIDENT
Credential: MD, MBA, FAAD, FACMS
Phone: 216-262-2777