MEDICARE: DR. CARLOS ANDRES MUNOZ ZULUAGA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	A208267	CA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1093394702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLOS ANDRES MUNOZ ZULUAGA MD

Provider Business Mailing Address
First Line	:	3450 WAYNE AVE APT 18B
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-2514
Country	:	US
Telephone Number	:	551-482-4756
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 16TH ST # 4066
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-2549
Country	:	US
Telephone Number	:	415-353-7043
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2021
Last Update Date	:	04/18/2026

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