Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | MD45615 | DC |
N | 2080P0203X | Pediatric Critical Care Doctor | MD45615 | DC |
NPI | 1215902895 |
---|---|
Provider Name | Dr. Ricardo A Munoz |
First Address | Baltimore, MD 21297-3215 |
Second Address | Washington, DC 20010-2916 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001894720 | (05) | PA |
F48922 | (02) | PA |