Provider Demographics
NPI:1326005943
Name:ZULUAGA, CLAUDIA M (PT)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:M
Last Name:ZULUAGA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6515 COLLINS AVE
Mailing Address - Street 2:APT 1509
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-9625
Mailing Address - Country:US
Mailing Address - Phone:786-302-2994
Mailing Address - Fax:305-629-8809
Practice Address - Street 1:1601 NW 12TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-243-6961
Practice Address - Fax:305-243-3155
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT199983225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY080MMedicare ID - Type Unspecified