Provider Demographics
NPI:1063491694
Name:MUNIZ-MARIANI, MAGALI (DMD)
Entity Type:Individual
Prefix:DR
First Name:MAGALI
Middle Name:
Last Name:MUNIZ-MARIANI
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:A39 CALLE 1
Mailing Address - Street 2:PARQUES DE SAN IGNACIO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-4839
Mailing Address - Country:US
Mailing Address - Phone:787-764-2424
Mailing Address - Fax:787-296-2424
Practice Address - Street 1:A3 CALLE LODI
Practice Address - Street 2:URB. LUARCA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-3804
Practice Address - Country:US
Practice Address - Phone:787-764-2424
Practice Address - Fax:787-296-2424
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21201223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics