Provider Demographics
NPI:1073612099
Name:MUNIZ, OSCAR SR (DMD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:
Last Name:MUNIZ
Suffix:SR
Gender:M
Credentials:DMD
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Mailing Address - Street 1:27 CALLE DR NELSON PEREA
Mailing Address - Street 2:DOCTORS CENTER BLDG. SUITE 206
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-4949
Mailing Address - Country:US
Mailing Address - Phone:787-833-1215
Mailing Address - Fax:787-265-0589
Practice Address - Street 1:27 CALLE DR NELSON PEREA
Practice Address - Street 2:DOCTORS CENTER BLDG. SUITE 206
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4949
Practice Address - Country:US
Practice Address - Phone:787-833-1215
Practice Address - Fax:787-265-0589
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR07321223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PROTH000Medicare UPIN