Healthcare Provider Details

I. General information

NPI: 1669388807
Provider Name (Legal Business Name): TAHIS D ZUNIGA MSW, RCSWI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 NW 1ST PL
MIAMI FL
33136-2711
US

IV. Provider business mailing address

1120 NW 4TH ST
MIAMI FL
33128-1059
US

V. Phone/Fax

Practice location:
  • Phone: 786-988-0931
  • Fax:
Mailing address:
  • Phone: 786-953-2279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: