Provider Demographics
NPI:1750328316
Name:ZAPATA, ANDRES (OT)
Entity Type:Individual
Prefix:MR
First Name:ANDRES
Middle Name:
Last Name:ZAPATA
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7878 NW 52ND ST
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4742
Mailing Address - Country:US
Mailing Address - Phone:305-244-5883
Mailing Address - Fax:305-675-2755
Practice Address - Street 1:7878 NW 52ND ST
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-4742
Practice Address - Country:US
Practice Address - Phone:305-244-5883
Practice Address - Fax:305-675-2755
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT11471225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQ22432Medicare UPIN
FLU2970Medicare ID - Type Unspecified