Provider Demographics
NPI:1083794168
Name:TAUSCHER, ZENAIDA REYES (MD)
Entity type:Individual
Prefix:DR
First Name:ZENAIDA
Middle Name:REYES
Last Name:TAUSCHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ZENAIDA
Other - Middle Name:CHIONG
Other - Last Name:REYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1611 NW 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1005
Mailing Address - Country:US
Mailing Address - Phone:305-585-6408
Mailing Address - Fax:305-545-6581
Practice Address - Street 1:1611 NW 12TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-585-6408
Practice Address - Fax:305-545-6581
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01059619A2080N0001X
FLME1682472080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200525390AMedicaid
000000393537OtherANTHEM BCBS