Provider Demographics
NPI:1679732374
Name:ORTEGON ZAMBRANO, BERENICE DEL PILAR (MD)
Entity Type:Individual
Prefix:
First Name:BERENICE
Middle Name:DEL PILAR
Last Name:ORTEGON ZAMBRANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1700 NW 49TH ST STE 125
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3750
Mailing Address - Country:US
Mailing Address - Phone:954-481-9184
Mailing Address - Fax:954-481-9317
Practice Address - Street 1:4800 W HILLSBORO BLVD STE A6
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4330
Practice Address - Country:US
Practice Address - Phone:954-481-9184
Practice Address - Fax:954-481-9317
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME119081207RE0101X, 207RE0101X
PAMT191562207R00000X
PAMD440579207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine