Provider Demographics
NPI:1760655781
Name:CAESAR A ZUNIGA, DPM
Entity Type:Organization
Organization Name:CAESAR A ZUNIGA, DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CAESAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZUNIGA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:915-759-6223
Mailing Address - Street 1:PO BOX 12682
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79913-0682
Mailing Address - Country:US
Mailing Address - Phone:915-759-6223
Mailing Address - Fax:
Practice Address - Street 1:2022 MURCHISON DR STE 104
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3058
Practice Address - Country:US
Practice Address - Phone:915-759-6223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1400213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4441690001Medicare NSC