Provider Demographics
NPI:1801869417
Name:ZAMBRANO, JAIME A (DDS)
Entity type:Individual
Prefix:DR
First Name:JAIME
Middle Name:A
Last Name:ZAMBRANO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:550 BILTMORE WAY
Mailing Address - Street 2:SUITE 760
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5730
Mailing Address - Country:US
Mailing Address - Phone:305-567-2772
Mailing Address - Fax:305-567-0757
Practice Address - Street 1:550 BILTMORE WAY
Practice Address - Street 2:SUITE 760
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5730
Practice Address - Country:US
Practice Address - Phone:305-567-2772
Practice Address - Fax:305-567-0757
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL138551223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics