Provider Demographics
NPI:1164211165
Name:FERNANDEZ MAZPULEZ, ZAMARY (SPEECH PATHOLOGIST)
Entity type:Individual
Prefix:
First Name:ZAMARY
Middle Name:
Last Name:FERNANDEZ MAZPULEZ
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:ZAMARY
Other - Middle Name:
Other - Last Name:FERNANDEZ MAZPULEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SPEECH PATHOLOGIST
Mailing Address - Street 1:12753 SW 64TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-1352
Mailing Address - Country:US
Mailing Address - Phone:305-339-1889
Mailing Address - Fax:
Practice Address - Street 1:2450 SW 137TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-8802
Practice Address - Country:US
Practice Address - Phone:786-360-6496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ12583235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist