Provider Demographics
NPI:1255210035
Name:ZARZUELA LLC
Entity type:Organization
Organization Name:ZARZUELA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LORAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-277-7679
Mailing Address - Street 1:1145 S LAKE STARR BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKE WALES
Mailing Address - State:FL
Mailing Address - Zip Code:33898-7666
Mailing Address - Country:US
Mailing Address - Phone:551-238-3798
Mailing Address - Fax:973-279-0200
Practice Address - Street 1:1145 S LAKE STARR BLVD
Practice Address - Street 2:
Practice Address - City:LAKE WALES
Practice Address - State:FL
Practice Address - Zip Code:33898-7666
Practice Address - Country:US
Practice Address - Phone:551-238-3798
Practice Address - Fax:973-279-0200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)