Provider Demographics
NPI:1881960326
Name:MUNIZ ALERS, SAISHA MARYEVE
Entity type:Individual
Prefix:
First Name:SAISHA
Middle Name:MARYEVE
Last Name:MUNIZ ALERS
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 1:382 HANES BUILDING DUMC BOX 102382
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-684-3401
Mailing Address - Fax:919-668-4447
Practice Address - Street 1:AVE JOSE KIKO CUSTODIO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927
Practice Address - Country:US
Practice Address - Phone:787-936-1477
Practice Address - Fax:787-936-1491
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR213142080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR21314OtherMEDICAL LICENSE