Provider Demographics
NPI:1164847026
Name:MUNOZ, YELITZA ANTONIETA (LICENSED ACUPUNCTUR)
Entity Type:Individual
Prefix:
First Name:YELITZA
Middle Name:ANTONIETA
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:LICENSED ACUPUNCTUR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11701 MILLS DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4824
Practice Address - Country:US
Practice Address - Phone:305-270-2700
Practice Address - Fax:855-451-2159
Is Sole Proprietor?:No
Enumeration Date:2014-02-28
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2267171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist