Provider Demographics
NPI:1922219625
Name:MUNIZ, CRIMILDA (RNBSN)
Entity Type:Individual
Prefix:MRS
First Name:CRIMILDA
Middle Name:
Last Name:MUNIZ
Suffix:
Gender:F
Credentials:RNBSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SECT CAPIRO CALLE CANARIO BZN 130
Mailing Address - Street 2:CALLE CANARIO BZN 130
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662
Mailing Address - Country:US
Mailing Address - Phone:787-830-2707
Mailing Address - Fax:787-830-0465
Practice Address - Street 1:AVE AGUSTIN RAMOS CALERO
Practice Address - Street 2:BZN 737
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662
Practice Address - Country:US
Practice Address - Phone:787-830-2707
Practice Address - Fax:787-830-0465
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18650163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse