Provider Demographics
NPI:1952642993
Name:MUNOZ, DANIELA A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DANIELA
Middle Name:A
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 CALLE WASHINGTON
Mailing Address - Street 2:APT 4A
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1513
Mailing Address - Country:US
Mailing Address - Phone:787-642-8239
Mailing Address - Fax:
Practice Address - Street 1:26 CALLE WASHINGTON
Practice Address - Street 2:APT 4A
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1513
Practice Address - Country:US
Practice Address - Phone:787-642-8239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4553103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical