Provider Demographics
NPI:1851849343
Name:ZAPATA, CARLOS M (MD)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:M
Last Name:ZAPATA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:CARLOS
Other - Middle Name:MANUEL
Other - Last Name:ZAPATA REYES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:20911 NW 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-2105
Mailing Address - Country:US
Mailing Address - Phone:786-297-0070
Mailing Address - Fax:786-265-0974
Practice Address - Street 1:20911 NW 2ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-2105
Practice Address - Country:US
Practice Address - Phone:786-297-0070
Practice Address - Fax:786-265-0974
Is Sole Proprietor?:No
Enumeration Date:2016-09-14
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS8940207RN0300X, 207R00000X
FLME162522207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine