Provider Demographics
NPI:1265068977
Name:ROZENCWAIG, TZVI PABLO (SA-C)
Entity type:Individual
Prefix:
First Name:TZVI
Middle Name:PABLO
Last Name:ROZENCWAIG
Suffix:
Gender:M
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5271 SW 8TH ST APT 313
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2382
Mailing Address - Country:US
Mailing Address - Phone:786-290-8460
Mailing Address - Fax:
Practice Address - Street 1:5271 SW 8TH ST APT 313
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2382
Practice Address - Country:US
Practice Address - Phone:786-290-8460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-14
Last Update Date:2020-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20-172246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant