Provider Demographics
NPI:1720188279
Name:HERNANDEZ MUNOZ, ZULMA
Entity Type:Individual
Prefix:DR
First Name:ZULMA
Middle Name:
Last Name:HERNANDEZ MUNOZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ZULMA
Other - Middle Name:
Other - Last Name:HERNANDEZ MUNOZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 19869
Mailing Address - Street 2:FERNANDEZ JUNCOS STATION
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-1869
Mailing Address - Country:US
Mailing Address - Phone:787-761-2080
Mailing Address - Fax:
Practice Address - Street 1:10 CALLE CASIA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3200
Practice Address - Country:US
Practice Address - Phone:787-641-7282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR153322085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology