Provider Demographics
NPI:1922387968
Name:MUNIZ, MARIA DE LOS ANGELES (MD)
Entity Type:Individual
Prefix:MISS
First Name:MARIA DE LOS ANGELES
Middle Name:
Last Name:MUNIZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MEMORIAL HWY APT 24A
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-8337
Mailing Address - Country:US
Mailing Address - Phone:646-271-5303
Mailing Address - Fax:
Practice Address - Street 1:209 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-1955
Practice Address - Country:US
Practice Address - Phone:860-678-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234471-1207ZP0105X
AZ41678207ZP0105X
CT050122207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine