Provider Demographics
NPI:1447569835
Name:MUNIZ, JOSE D SR (RT)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:D
Last Name:MUNIZ
Suffix:SR
Gender:M
Credentials:RT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SS 43 CALLE VIOLETA
Mailing Address - Street 2:URBANIZACION VALLE HERMOSO
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660-1320
Mailing Address - Country:US
Mailing Address - Phone:787-943-2402
Mailing Address - Fax:
Practice Address - Street 1:SS 43 CALLE VIOLETA
Practice Address - Street 2:URBANIZACION VALLE HERMOSO
Practice Address - City:HORMIGUEROS
Practice Address - State:PR
Practice Address - Zip Code:00660-1320
Practice Address - Country:US
Practice Address - Phone:787-943-2402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-01
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1403227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified