Provider Demographics
NPI:1013689728
Name:MUNERA, CRISTINA ISABEL
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:ISABEL
Last Name:MUNERA
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 1:774 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-3016
Mailing Address - Country:US
Mailing Address - Phone:857-999-1357
Mailing Address - Fax:
Practice Address - Street 1:774 BROADWAY
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-3016
Practice Address - Country:US
Practice Address - Phone:857-999-1357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician