Active NPI
Luis R Zaldivar, PH.D.
- Clinical Psychologist
- Miami, FL
National Provider Identifier
1699000117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY003628
- Practice address
- 16201 SW 95TH Ave
Suite 200
Miami, FL 33157-3459 - Phone
- (786) 387-9386
- Fax
- (305) 234-6500
- NPI assigned
- Oct 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY003628 | FL | Primary |
Addresses
Primary practice location
16201 SW 95TH Ave
Suite 200
Miami, FL 33157-3459
Mailing address
16201 SW 95TH Ave
Suite 200
Miami, FL 33157-3459
Phone (786) 387-9386
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY003628 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342656000000",
"number": "1699000117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16201 SW 95TH AVE",
"address_2": "SUITE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331573459",
"telephone_number": "786-387-9386",
"fax_number": "305-234-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16201 SW 95TH AVE",
"address_2": "SUITE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331573459",
"telephone_number": "786-387-9386",
"fax_number": "305-234-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZALDIVAR",
"first_name": "LUIS",
"middle_name": "R",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-16",
"last_updated": "2012-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY003628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.