Provider Demographics
NPI:1821461658
Name:MUNIZ BATISTA, ADLIN
Entity Type:Individual
Prefix:
First Name:ADLIN
Middle Name:
Last Name:MUNIZ BATISTA
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:PO BOX 51502
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00950-1502
Mailing Address - Country:US
Mailing Address - Phone:787-710-2532
Mailing Address - Fax:787-713-2172
Practice Address - Street 1:CARR 31 KILOMETRO 24.1
Practice Address - Street 2:JUNCOS PLAZA SHOPPING CENTER
Practice Address - City:JUNCO
Practice Address - State:PR
Practice Address - Zip Code:00777
Practice Address - Country:US
Practice Address - Phone:787-710-2532
Practice Address - Fax:787-713-2172
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR131661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical