Provider Demographics
NPI:1497939375
Name:PEDRO A MUNIZ
Entity Type:Organization
Organization Name:PEDRO A MUNIZ
Other - Org Name:WESTERN SCIENTIFIC AND HOSPITAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:A
Authorized Official - Last Name:MUNIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-832-9250
Mailing Address - Street 1:162 EAST MCKINLEY ST
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-3230
Mailing Address - Country:US
Mailing Address - Phone:787-832-9250
Mailing Address - Fax:787-832-9250
Practice Address - Street 1:162 EAST MCKINLEY ST
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-3230
Practice Address - Country:US
Practice Address - Phone:787-832-9250
Practice Address - Fax:787-832-9250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0695910001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0695910001Medicare NSC