Provider Demographics
NPI:1972151876
Name:ZAPATA, ROSA LIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSA
Middle Name:LIA
Last Name:ZAPATA
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 1:8671 ADDISON PLACE CIR UNIT 304
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-7850
Mailing Address - Country:US
Mailing Address - Phone:646-286-3902
Mailing Address - Fax:
Practice Address - Street 1:5240 GOLDEN GATE PKWY
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-7670
Practice Address - Country:US
Practice Address - Phone:239-234-6835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-04
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR021467208D00000X
FLACN1270208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice