Provider Demographics
NPI:1992444103
Name:MUNOZ, RAFAEL ARTURO JR
Entity type:Individual
Prefix:
First Name:RAFAEL
Middle Name:ARTURO
Last Name:MUNOZ
Suffix:JR
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 1:412 SALT RD
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-9703
Mailing Address - Country:US
Mailing Address - Phone:520-249-3675
Mailing Address - Fax:
Practice Address - Street 1:412 SALT RD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-9703
Practice Address - Country:US
Practice Address - Phone:520-249-3675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant