Provider Demographics
NPI:1942654637
Name:ZABLAH REGALADO, GERARDO JOSE (MD)
Entity Type:Individual
Prefix:MR
First Name:GERARDO
Middle Name:JOSE
Last Name:ZABLAH REGALADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 E HALLANDALE BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-5529
Mailing Address - Country:US
Mailing Address - Phone:305-827-2977
Mailing Address - Fax:305-692-0717
Practice Address - Street 1:410 E HALLANDALE BEACH BLVD
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-5529
Practice Address - Country:US
Practice Address - Phone:305-827-2977
Practice Address - Fax:305-692-0717
Is Sole Proprietor?:No
Enumeration Date:2016-04-19
Last Update Date:2023-08-16
Deactivation Date:2016-12-14
Deactivation Code:
Reactivation Date:2017-02-22
Provider Licenses
StateLicense IDTaxonomies
FLME140388207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine