Provider Demographics
NPI:1336353184
Name:MUNOZ, ARMANDO LUIS (14155)
Entity Type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:LUIS
Last Name:MUNOZ
Suffix:
Gender:M
Credentials:14155
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3429 PASEO VERSATIL URB. VISTA POINT
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-4824
Mailing Address - Country:US
Mailing Address - Phone:787-848-6676
Mailing Address - Fax:787-842-0281
Practice Address - Street 1:6 CALLE LA CRUZ
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-2430
Practice Address - Country:US
Practice Address - Phone:787-837-2265
Practice Address - Fax:787-260-1441
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14155208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice