Provider Demographics
NPI:1073814695
Name:MUNOZ, ROSARY ALIBIN (FNP-BC, CDCES, PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:ROSARY
Middle Name:ALIBIN
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:FNP-BC, CDCES, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1424 W PRICE RD STE A-2
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8672
Mailing Address - Country:US
Mailing Address - Phone:956-815-0296
Mailing Address - Fax:956-306-0187
Practice Address - Street 1:1424 W PRICE RD STE A2
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8672
Practice Address - Country:US
Practice Address - Phone:956-815-0296
Practice Address - Fax:956-306-0187
Is Sole Proprietor?:No
Enumeration Date:2010-11-12
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP119373363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily