Provider Demographics
NPI:1841043924
Name:TERAN ZAMBRANO, JOSE DAVID
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:DAVID
Last Name:TERAN ZAMBRANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 NW 128TH DR APT 104
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-5203
Mailing Address - Country:US
Mailing Address - Phone:786-806-2113
Mailing Address - Fax:
Practice Address - Street 1:1610 NW 128TH DR APT 104
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-5203
Practice Address - Country:US
Practice Address - Phone:786-806-2113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant