Provider Demographics
NPI:1750834362
Name:MUNOZ, LAURA (MS)
Entity Type:Individual
Prefix:MISS
First Name:LAURA
Middle Name:
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2515 CALLE ALAMAR
Mailing Address - Street 2:APT 802
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-3862
Mailing Address - Country:US
Mailing Address - Phone:787-689-2750
Mailing Address - Fax:
Practice Address - Street 1:2515 CALLE ALAMAR
Practice Address - Street 2:APT 802
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-3862
Practice Address - Country:US
Practice Address - Phone:787-689-2750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-31
Last Update Date:2016-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program