Provider Demographics
NPI:1609841766
Name:ZAMORANO, YASMIN (DPM)
Entity Type:Individual
Prefix:MRS
First Name:YASMIN
Middle Name:
Last Name:ZAMORANO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 NE 88TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33138-3320
Mailing Address - Country:US
Mailing Address - Phone:786-486-6574
Mailing Address - Fax:
Practice Address - Street 1:655 NE 88TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-3320
Practice Address - Country:US
Practice Address - Phone:786-486-6574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2628213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL390389300Medicaid
FL390389300Medicaid
FL65544Medicare PIN