Provider Demographics
NPI:1184467177
Name:BAQUERO ZAMBRANO, NATALIA BEATRIZ
Entity type:Individual
Prefix:MRS
First Name:NATALIA
Middle Name:BEATRIZ
Last Name:BAQUERO ZAMBRANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2191 NE 163RD ST STE 13
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4925
Mailing Address - Country:US
Mailing Address - Phone:954-326-8729
Mailing Address - Fax:
Practice Address - Street 1:2191 NE 163RD ST STE 13
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4925
Practice Address - Country:US
Practice Address - Phone:954-326-8729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes132700000XDietary & Nutritional Service ProvidersDietary Manager