Provider Demographics
NPI:1720217664
Name:MUNIVES, ZULEIKA C (LTM)
Entity Type:Individual
Prefix:
First Name:ZULEIKA
Middle Name:C
Last Name:MUNIVES
Suffix:
Gender:F
Credentials:LTM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8889 FONTAINEBLEAU BLVD APT 411
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-4459
Mailing Address - Country:US
Mailing Address - Phone:786-797-0467
Mailing Address - Fax:
Practice Address - Street 1:8889 FONTAINEBLEAU BLVD APT 411
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-4459
Practice Address - Country:US
Practice Address - Phone:786-797-0467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA46942225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist