MEDICARE: DR. ZULIMA MUNOZ D.D.S.

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	1223P0221X	Pediatric Dentistry	DN18553	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063659811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZULIMA MUNOZ D.D.S.

Provider Business Mailing Address
First Line	:	15623 NW 12TH RD
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33028-1678
Country	:	US
Telephone Number	:	305-336-5238
Fax Number	:

Provider Business Practice Location Address
First Line	:	7150 W 20TH AVE STE 300
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-5531
Country	:	US
Telephone Number	:	305-556-9020
Fax Number	:	305-556-2799

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

Provider Enumeration Date	:	01/15/2009
Last Update Date	:	09/09/2011

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Directions to “ DR. ZULIMA MUNOZ D.D.S.” Practice Location

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