Provider Demographics
NPI:1659137057
Name:ZERPA, JORGE
Entity Type:Individual
Prefix:
First Name:JORGE
Middle Name:
Last Name:ZERPA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10253 NW 9TH STREET CIR APT 201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-3274
Mailing Address - Country:US
Mailing Address - Phone:908-986-8989
Mailing Address - Fax:
Practice Address - Street 1:10253 NW 9TH STREET CIR APT 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-3274
Practice Address - Country:US
Practice Address - Phone:908-986-8989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst