Provider Demographics
NPI:1275050163
Name:ZALDIVAR, VERA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:VERA
Middle Name:
Last Name:ZALDIVAR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10905 SW 93RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2649
Mailing Address - Country:US
Mailing Address - Phone:786-208-9818
Mailing Address - Fax:
Practice Address - Street 1:6701 MILLER DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-5721
Practice Address - Country:US
Practice Address - Phone:954-364-9950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-23
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL56935183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist