Provider Demographics
NPI:1518075696
Name:MUNIZ, RUTH Y (PSY D)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:Y
Last Name:MUNIZ
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND. TORRE DE ORO
Mailing Address - Street 2:175 CALLE MEJICO APT. 401
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917
Mailing Address - Country:US
Mailing Address - Phone:939-642-4273
Mailing Address - Fax:
Practice Address - Street 1:D12 CALLE BUEN SAMARITANO
Practice Address - Street 2:URBANIZACION GARDENVILLE
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-2025
Practice Address - Country:US
Practice Address - Phone:787-783-0610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2571103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical