Provider Demographics
NPI:1124335419
Name:ZAPIRAIN, SANDY
Entity type:Individual
Prefix:MR
First Name:SANDY
Middle Name:
Last Name:ZAPIRAIN
Suffix:
Gender:M
Credentials:
Other - Prefix:MS
Other - First Name:AGNES
Other - Middle Name:
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5050 NW 74TH AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5507
Mailing Address - Country:US
Mailing Address - Phone:786-333-6558
Mailing Address - Fax:
Practice Address - Street 1:5050 NW 74TH AVE STE 105
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-5507
Practice Address - Country:US
Practice Address - Phone:786-333-6558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator