Provider Demographics
NPI:1376351692
Name:ROSARIO MUNOZ, YAMIRA
Entity type:Individual
Prefix:
First Name:YAMIRA
Middle Name:
Last Name:ROSARIO MUNOZ
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:PO BOX 20533
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928-0533
Mailing Address - Country:US
Mailing Address - Phone:939-418-8023
Mailing Address - Fax:
Practice Address - Street 1:2436 CALLE SANTA ELENA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00915-3133
Practice Address - Country:US
Practice Address - Phone:939-418-8023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7451103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling