Provider Demographics
NPI:1811207970
Name:ZERQUERA HERNANDEZ, FATIMA MARTHA (MD)
Entity Type:Individual
Prefix:
First Name:FATIMA
Middle Name:MARTHA
Last Name:ZERQUERA HERNANDEZ
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 1:738 NE 83RD TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-3611
Mailing Address - Country:US
Mailing Address - Phone:786-397-2394
Mailing Address - Fax:
Practice Address - Street 1:167 W 23RD ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-2211
Practice Address - Country:US
Practice Address - Phone:305-889-3121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-07
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1558208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice