MEDICARE: KEILYN FERNANDEZ ZALDIVAR SR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst
2	106S00000X	Behavior Technician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346789666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEILYN FERNANDEZ ZALDIVAR SR.

Provider Business Mailing Address
First Line	:	16500 NW 17TH CT
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33054-6606
Country	:	US
Telephone Number	:	561-386-8332
Fax Number	:

Provider Business Practice Location Address
First Line	:	16500 NW 17TH CT
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33054-6606
Country	:	US
Telephone Number	:	561-386-8332
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2017
Last Update Date	:	11/30/2020

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1407564966 — TYRA TATE LMFT
Practice Location Address:

16520 NW 17TH CT
OPA LOCKA, FL
33054-6606

Practice Phone: 305-209-6090
Practice Fax:

1760461248 — UNIVERSAL MEDICAL SERVICES CORP.
Practice Location Address:

6500 W 4TH AVE , SUITE 35
MIAMI, FL
33012-6606

Practice Phone: 305-512-1619
Practice Fax:

1528504123 — JORGE MANUEL DELGADO
Practice Location Address:

6606 SW 131ST PATH APT 1807A
MIAMI, FL
33183-5629

Practice Phone: 786-597-3576
Practice Fax:

1144848789 — SUSANA PRECIADO ARNP
Practice Location Address:

13747 SW 30TH ST
MIAMI, FL
33175-6606

Practice Phone: 786-237-4845
Practice Fax:

1730771569 — YOSVANIA GONZALEZ
Practice Location Address:

6606 SW 131ST PATH APT 1810A
MIAMI, FL
33183-5656

Practice Phone: 305-515-0412
Practice Fax:

Directions to “ KEILYN FERNANDEZ ZALDIVAR SR. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.