Individual provider Active NPI

Adlig Zamora

  • Health Maintenance Organization
  • Doral, FL
National Provider Identifier
1073881751
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
MA43491 Issued in FL
Practice address
3900 NW 79 Avenue
#729
Doral, FL 33166-6556
Phone
(305) 593-8172
Fax
(305) 593-8174
NPI assigned
Dec 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X MA43491 FL Primary

Addresses

Primary practice location

3900 NW 79 Avenue
#729
Doral, FL 33166-6556

Mailing address

3900 NW 79 Avenue
#729
Doral, FL 33166-6556
Phone (305) 593-8172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA43491FLMDHealth Maintenance Organization

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Fitness Therapy Center Health Maintenance Organization Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1073881751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NW 79 AVENUE",
            "address_2": "#729",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666556",
            "telephone_number": "305-593-8172",
            "fax_number": "305-593-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79 AVENUE",
            "address_2": "#729",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666556",
            "telephone_number": "305-593-8172",
            "fax_number": "305-593-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "ADLIG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "MA43491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.