Provider Demographics
NPI:1043548126
Name:MUNOZ, GABRIEL JOSEPH (CNMT)
Entity Type:Individual
Prefix:MR
First Name:GABRIEL
Middle Name:JOSEPH
Last Name:MUNOZ
Suffix:
Gender:M
Credentials:CNMT
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Mailing Address - Street 1:767 MEADOW LAKE RD
Mailing Address - Street 2:
Mailing Address - City:LOS LUNAS
Mailing Address - State:NM
Mailing Address - Zip Code:87031-8089
Mailing Address - Country:US
Mailing Address - Phone:505-261-1513
Mailing Address - Fax:
Practice Address - Street 1:1501 SAN PEDRO DR SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-5153
Practice Address - Country:US
Practice Address - Phone:505-256-2760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMNMT 04802471N0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471N0900XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistNuclear Medicine Technology