Provider Demographics
NPI:1427869452
Name:RIOS MUNOZ, GLORYMAR
Entity type:Individual
Prefix:
First Name:GLORYMAR
Middle Name:
Last Name:RIOS MUNOZ
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:PO BOX 1754
Mailing Address - Street 2:
Mailing Address - City:SAN LORENZO
Mailing Address - State:PR
Mailing Address - Zip Code:00754-1754
Mailing Address - Country:US
Mailing Address - Phone:787-595-5990
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1754
Practice Address - Street 2:
Practice Address - City:SAN LORENZO
Practice Address - State:PR
Practice Address - Zip Code:00754-1754
Practice Address - Country:US
Practice Address - Phone:787-595-5990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program