Individual
DR. JOSE M ZALDIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
19562 NW 79TH PL, HIALEAH, FL 33015-6338
(786) 286-6465
Mailing address
19562 NW 79TH PL, HIALEAH, FL 33015-6338
(786) 286-6465
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001013
PR
Other
Enumeration date
03/06/2020
Last updated
05/11/2021
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