Provider Demographics
NPI:1154703312
Name:MUNIZ, FELIX (CDC-A)
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:
Last Name:MUNIZ
Suffix:
Gender:M
Credentials:CDC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3874 W 134TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-4424
Mailing Address - Country:US
Mailing Address - Phone:216-408-8802
Mailing Address - Fax:
Practice Address - Street 1:3305 WEST 25TH STREET
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109
Practice Address - Country:US
Practice Address - Phone:216-459-1222
Practice Address - Fax:216-459-2696
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)