Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 5256 | PR |
NPI | 1013126572 |
---|---|
Provider Name | Dr. Willie Munoz |
First Address | Humacao, PR 00791 |
Second Address | Humacao, PR 00791 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 08/07/2007 |