Provider Demographics
NPI:1407690902
Name:MUNOZ ESTRELLA, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:MUNOZ ESTRELLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10221 BLUEBONNET BOULEVARD
Mailing Address - Street 2:B-414
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-7165
Mailing Address - Country:US
Mailing Address - Phone:785-576-4552
Mailing Address - Fax:
Practice Address - Street 1:10221 BLUEBONNET BOULEVARD
Practice Address - Street 2:B-414
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-7165
Practice Address - Country:US
Practice Address - Phone:785-576-4552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program