# DR. ALEX GARRIDO-ZAMBRANO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1720242480
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036130699 | IL | — |
| 207Q00000X | Family Medicine Physician | 11014175A | IN | — |
| 207Q00000X | Family Medicine Physician | 62998 | TN | Yes |

## Other

- **Enumeration date:** 07/11/2008
- **Last updated:** 06/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036130699 | — | IL |
| 05 | — | 370966854002 | — | IL |
| 05 | — | 370966854004 | — | IL |
| 05 | — | 370966854005 | — | IL |
| 01 | — | CF3444 | MEDICARE RR | IL |
| 05 | — | Q067710 | — | TN |