Provider Demographics
NPI:1689002867
Name:MUNOZ, SANDRA FIORELLA (FNP)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:FIORELLA
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 E RIDGE RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1251
Mailing Address - Country:US
Mailing Address - Phone:956-264-2483
Mailing Address - Fax:
Practice Address - Street 1:222 E RIDGE RD
Practice Address - Street 2:SUITE 210
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1251
Practice Address - Country:US
Practice Address - Phone:956-264-2483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX777785363LF0000X
NJ26NJ00453500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily