Provider Demographics
NPI:1932181583
Name:MUNOZ-PRICE, LUISA SILVIA (MD, PHD)
Entity type:Individual
Prefix:
First Name:LUISA
Middle Name:SILVIA
Last Name:MUNOZ-PRICE
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:LUISA
Other - Middle Name:S
Other - Last Name:MUNOZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:917 MAR WALT DR
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-6651
Mailing Address - Country:US
Mailing Address - Phone:850-862-3979
Mailing Address - Fax:850-862-0605
Practice Address - Street 1:917 MAR WALT DR
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-6651
Practice Address - Country:US
Practice Address - Phone:850-862-3979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME168426207RI0200X
WI63335207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN40775CMedicare ID - Type Unspecified