Provider Demographics
NPI:1043452329
Name:AVILES MUNOZ, ALBERTO
Entity Type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:
Last Name:AVILES MUNOZ
Suffix:
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:URB PARQUE LA ARBOLEDA #33
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603
Mailing Address - Country:US
Mailing Address - Phone:787-503-9590
Mailing Address - Fax:787-652-4833
Practice Address - Street 1:740 AVE HOSTOS SUITE 215
Practice Address - Street 2:MEDICAL CENTER PLAZA
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-1539
Practice Address - Country:US
Practice Address - Phone:787-503-9590
Practice Address - Fax:787-652-4833
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-01
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR795235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist