MEDICARE: GREGORIO B ZUAZU M.D.

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	2085R0202X	Diagnostic Radiology Physician	ME39137	FL

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	:	1447247341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORIO B ZUAZU M.D.

Provider Business Mailing Address
First Line	:	6039 COLLINS AVENUE
Second Line	:	APT 1115
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2252
Country	:	US
Telephone Number	:	713-542-4522
Fax Number	:

Provider Business Practice Location Address
First Line	:	6039 COLLINS AVENUE
Second Line	:	APT 1115
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2252
Country	:	US
Telephone Number	:	713-542-4522
Fax Number	:

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

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	07/02/2014

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