Provider Demographics
NPI:1285978353
Name:ZUNIGA, VIVIANA SESIBEL (DPT)
Entity type:Individual
Prefix:
First Name:VIVIANA
Middle Name:SESIBEL
Last Name:ZUNIGA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 NE 140TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-3125
Mailing Address - Country:US
Mailing Address - Phone:305-490-0285
Mailing Address - Fax:
Practice Address - Street 1:15346 NW 79TH CT
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5850
Practice Address - Country:US
Practice Address - Phone:305-821-0502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27891225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist