Provider Demographics
NPI:1710745310
Name:MUNOZ, FLOR ELENA
Entity Type:Individual
Prefix:
First Name:FLOR
Middle Name:ELENA
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 POINCIANA ST # A-1
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8538
Mailing Address - Country:US
Mailing Address - Phone:956-358-0004
Mailing Address - Fax:956-622-3041
Practice Address - Street 1:2821 POINCIANA ST # A-1
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8538
Practice Address - Country:US
Practice Address - Phone:956-358-0004
Practice Address - Fax:956-622-3041
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant