MEDICARE: GENESIS MARIANA FERRER ZAVALA MD

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	390200000X	Student in an Organized Health Care Education/Training Program	TRN46394	FL

General Provider Information

NPI Number	:	1871437129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENESIS MARIANA FERRER ZAVALA MD

Provider Business Mailing Address
First Line	:	8833 NW 107TH CT UNIT 208
Second Line	:
City	:	DORAL
State	:	FL
Zip	:	33178-2131
Country	:	US
Telephone Number	:	801-921-2096
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 W FLAGLER ST
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-1604
Country	:	US
Telephone Number	:	305-774-3400
Fax Number	:

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

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	06/25/2026

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