Provider Demographics
NPI:1023338795
Name:MUNOZ, MARTA PATRICIA (SLP)
Entity type:Individual
Prefix:MRS
First Name:MARTA
Middle Name:PATRICIA
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B18 CALLE ZENOBIA
Mailing Address - Street 2:VILLAS DE CUPEY
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7622
Mailing Address - Country:US
Mailing Address - Phone:787-203-0442
Mailing Address - Fax:787-783-1325
Practice Address - Street 1:B18 CALLE ZENOBIA
Practice Address - Street 2:VILLAS DE CUPEY
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7622
Practice Address - Country:US
Practice Address - Phone:787-203-0442
Practice Address - Fax:787-783-1325
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-04
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR865235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist