Individual provider Active NPI

Ricardo Zamora, M.D

  • General Practice Physician
  • Tamarac, FL
National Provider Identifier
1326291964
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME 112222 Issued in FL
Practice address
7737 N University Dr Ste 107
Tamarac, FL 33321-2968
Phone
(954) 718-3380
NPI assigned
Oct 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X ME 112222 FL Primary

Addresses

Primary practice location

7737 N University Dr Ste 107
Tamarac, FL 33321-2968

Mailing address

7737 N University Dr Ste 107
Tamarac, FL 33321-2968
Phone (954) 720-0056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120613000243 FL Practitioner - General Practice 0244494714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colony Springs Medical Center IncGroup PAC ID 5698674075, 3 clinicians

Practice addresses (Care Compare)

7737 N University Dr
Suite 107
Tamarac, FL 33321-2968
Phone (954) 720-0056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 112222FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colony Springs Medical Center, Inc CurrentSince Oct 22, 2012 Accepting new patients
Colony Springs Medical Center of Palm BCH, Inc Past Accepting new patients

Locations

7737 N University Dr
Ste 107
Tamarac, FL 33321
Phone (954) 720-0056

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFDDCA/Endpoint/GFDDCA

Organizations & group practices 2

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1326291964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 N UNIVERSITY DR STE 107",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212968",
            "telephone_number": "954-720-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 N UNIVERSITY DR STE 107",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212968",
            "telephone_number": "954-718-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "RICARDO",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME 112222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.