Provider Demographics
NPI:1235456245
Name:ZUBIZARRETA, ROBERTO JR (CRNA)
Entity Type:Individual
Prefix:
First Name:ROBERTO
Middle Name:
Last Name:ZUBIZARRETA
Suffix:JR
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9167 FONTAINEBLEAU BLVD APT 15
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-6317
Mailing Address - Country:US
Mailing Address - Phone:786-953-3877
Mailing Address - Fax:
Practice Address - Street 1:9167 FONTAINEBLEAU BLVD APT 15
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-6317
Practice Address - Country:US
Practice Address - Phone:786-953-3877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9226989367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered