Individual provider Active NPI

Camilo Zambrano, MD

  • Pediatrics Physician
  • Homestead, FL
National Provider Identifier
1457384281
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME78674 Issued in FL
Practice address
999 N Krome Ave
Homestead, FL 33030-4408
Phone
(305) 247-7080
Fax
(305) 247-4212
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X ME78674 FL
Pediatrics Physician 208000000X ME78674 FL Primary

Addresses

Primary practice location

999 N Krome Ave
Homestead, FL 33030-4408

Mailing address

999 N Krome Ave
Homestead, FL 33030-4408
Phone (305) 247-7080

Other practice location 1

1555 N Krome Ave
Homestead, FL 33030-3232
Phone (305) 247-7080

Other identifiers 1

IdentifierTypeStateIssuer
257614700MedicaidFL

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME78674FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zambrano Pediatrics, Inc. Pediatrics Current Accepting new patients
Urgent Care Physicians of Palmetto Bay LLC PastSince Mar 26, 2023 Accepting new patients

Locations

999 N Krome Ave
Homestead, FL 33030
Phone (305) 246-4774

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1457384281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304408",
            "telephone_number": "305-247-7080",
            "fax_number": "305-247-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304408",
            "telephone_number": "305-247-7080",
            "fax_number": "305-247-4212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 N Krome Ave",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330303232",
            "country_code": "US",
            "telephone_number": "305-247-7080",
            "fax_number": "305-247-4212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMBRANO",
        "first_name": "CAMILO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "FL",
            "license": "ME78674",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME78674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257614700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.