Provider Demographics
NPI:1699735753
Name:MUNIZ, MARIA MARGARITA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:MARGARITA
Last Name:MUNIZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 4167
Mailing Address - Street 2:
Mailing Address - City:ARROYO
Mailing Address - State:PR
Mailing Address - Zip Code:00714-9741
Mailing Address - Country:US
Mailing Address - Phone:787-839-3552
Mailing Address - Fax:787-839-1829
Practice Address - Street 1:CARRETERA 755 KILOMETRO 0.4
Practice Address - Street 2:SUITE#235A
Practice Address - City:ARROYO
Practice Address - State:PR
Practice Address - Zip Code:00714-9741
Practice Address - Country:US
Practice Address - Phone:787-839-1829
Practice Address - Fax:787-839-1829
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRDM147116146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR21277Medicare ID - Type Unspecified