Provider Demographics
NPI:1073245619
Name:FUNEZ, SUJENI YANETH
Entity Type:Individual
Prefix:
First Name:SUJENI
Middle Name:YANETH
Last Name:FUNEZ
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 1:2779 NW 30TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-6403
Mailing Address - Country:US
Mailing Address - Phone:954-801-0833
Mailing Address - Fax:
Practice Address - Street 1:2779 NW 30TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-6403
Practice Address - Country:US
Practice Address - Phone:954-801-0833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist