Provider Demographics
NPI:1043220353
Name:MUNOZ, MARIA RAQUEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:RAQUEL
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1908 CALLE LOIZA
Mailing Address - Street 2:APT 1
Mailing Address - City:SANTURCE
Mailing Address - State:PR
Mailing Address - Zip Code:00911-1890
Mailing Address - Country:US
Mailing Address - Phone:787-728-0849
Mailing Address - Fax:787-726-5234
Practice Address - Street 1:1908 CALLE LOIZA
Practice Address - Street 2:APT 1
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00911-1890
Practice Address - Country:US
Practice Address - Phone:787-728-0849
Practice Address - Fax:787-726-5234
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRDM-05593-91223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice