Provider Demographics
NPI:1619630613
Name:MUNOZ INTERNAL MEDICINE SERVICES C.S.P.
Entity Type:Organization
Organization Name:MUNOZ INTERNAL MEDICINE SERVICES C.S.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNESTO
Authorized Official - Middle Name:J
Authorized Official - Last Name:MUNOZ VILCHES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-630-4060
Mailing Address - Street 1:55 CALLE DE LA FIDELIDAD
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-1844
Mailing Address - Country:US
Mailing Address - Phone:787-721-4836
Mailing Address - Fax:787-721-8448
Practice Address - Street 1:29 CALLE WASHINGTON STE 208B
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1561
Practice Address - Country:US
Practice Address - Phone:787-721-4836
Practice Address - Fax:787-721-8448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-16
Last Update Date:2021-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty