Provider Demographics
NPI:1396288601
Name:MUNOZ, ALEJANDRO SR
Entity type:Individual
Prefix:MR
First Name:ALEJANDRO
Middle Name:
Last Name:MUNOZ
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 S MORGAN ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-3704
Mailing Address - Country:US
Mailing Address - Phone:323-246-6898
Mailing Address - Fax:
Practice Address - Street 1:2625 S MORGAN ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-3704
Practice Address - Country:US
Practice Address - Phone:323-246-6898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-18
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker