Provider Demographics
NPI:1437127289
Name:MURIENTE, JOSE MANUEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:MANUEL
Last Name:MURIENTE
Suffix:
Gender:M
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:ARZUAGA 112 MEDINA CENTER 1104
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00000-0925
Mailing Address - Country:US
Mailing Address - Phone:787-771-7100
Mailing Address - Fax:787-771-7101
Practice Address - Street 1:ARZUAGA 112 MEDINA CENTER 1104
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00000-0925
Practice Address - Country:US
Practice Address - Phone:787-771-7100
Practice Address - Fax:787-771-7101
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice