Provider Demographics
NPI:1235586868
Name:ZAMORA SUAREZ, SANTA NEREIDA (LEAD ANALYST)
Entity type:Individual
Prefix:
First Name:SANTA
Middle Name:NEREIDA
Last Name:ZAMORA SUAREZ
Suffix:
Gender:F
Credentials:LEAD ANALYST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11700 SW 176TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-2334
Mailing Address - Country:US
Mailing Address - Phone:786-454-7179
Mailing Address - Fax:
Practice Address - Street 1:11700 SW 176TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-2334
Practice Address - Country:US
Practice Address - Phone:786-327-4472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-24
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst