Provider Demographics
NPI:1588492144
Name:ZUNIGA, ANDRES R (MED,)
Entity type:Individual
Prefix:MR
First Name:ANDRES
Middle Name:R
Last Name:ZUNIGA
Suffix:
Gender:M
Credentials:MED,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 STATE ROUTE 440 STE 16
Mailing Address - Street 2:#1094
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304
Mailing Address - Country:US
Mailing Address - Phone:862-417-4746
Mailing Address - Fax:
Practice Address - Street 1:16 LYMAN AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-2714
Practice Address - Country:US
Practice Address - Phone:914-481-3262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-24
Last Update Date:2024-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator