Provider Demographics
NPI:1689983801
Name:ZAMBRANO, ANDREA D (MD)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:D
Last Name:ZAMBRANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20371 W COUNTRY CLUB DR
Mailing Address - Street 2:TH 27
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1632
Mailing Address - Country:US
Mailing Address - Phone:224-250-1223
Mailing Address - Fax:
Practice Address - Street 1:20371 W COUNTRY CLUB DR
Practice Address - Street 2:TH 27
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1632
Practice Address - Country:US
Practice Address - Phone:224-250-1223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-05
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1250551452085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology