Provider Demographics
NPI:1235935495
Name:ALVEAR ZAMBRANO, ROBERTO SOFOMIAS (RCSWI)
Entity type:Individual
Prefix:
First Name:ROBERTO
Middle Name:SOFOMIAS
Last Name:ALVEAR ZAMBRANO
Suffix:
Gender:
Credentials:RCSWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8446 SW 148TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-1508
Mailing Address - Country:US
Mailing Address - Phone:561-957-4640
Mailing Address - Fax:
Practice Address - Street 1:8446 SW 148TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-1508
Practice Address - Country:US
Practice Address - Phone:561-957-4640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21584101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health