Provider Demographics
NPI:1417989310
Name:MUNOZ, GEORGE EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:EDWARD
Last Name:MUNOZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20880 W DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1151
Mailing Address - Country:US
Mailing Address - Phone:305-682-1441
Mailing Address - Fax:305-682-1855
Practice Address - Street 1:20880 W DIXIE HWY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33180-1151
Practice Address - Country:US
Practice Address - Phone:305-682-1441
Practice Address - Fax:305-682-1855
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0046517207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOXFORDOtherP1769201
FL2442120OtherAETNA HMO
FL4106068OtherAETNA PPO
FL4970770003OtherCIGNA
FL008244OtherAVMED
FL3202052OtherUNITED HEALTHCARE
FLME0046517OtherVISTA
FL96740OtherBCBS
FL3202052OtherUNITED HEALTHCARE
FLOXFORDOtherP1769201