Provider Demographics
NPI:1609321926
Name:ZAPATA-NEGRON, LUZ (MA)
Entity Type:Individual
Prefix:
First Name:LUZ
Middle Name:
Last Name:ZAPATA-NEGRON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6210 W COLONIAL DR STE 116
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-7504
Mailing Address - Country:US
Mailing Address - Phone:407-325-4577
Mailing Address - Fax:
Practice Address - Street 1:6210 W COLONIAL DR STE 116
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-7504
Practice Address - Country:US
Practice Address - Phone:407-325-4577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA28687225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist