Basic Information
Provider Information
NPI: 1285600775
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MUNS
FirstName: MARIA
MiddleName: ADELA
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: ISLA VERDE AVE. 4531
Address2: 502
City: CAROLINA
State: PR
PostalCode: 00979
CountryCode: US
TelephoneNumber: 7876533434
FaxNumber: 7876533105
Practice Location
Address1: 4531 ISLA VERDE AVE.
Address2: APT. 502
City: CAROLINA
State: PR
PostalCode: 00979
CountryCode: US
TelephoneNumber: 7876533434
FaxNumber: 7876533105
Other Information
ProviderEnumerationDate: 02/24/2006
LastUpdateDate: 03/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/25/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000X9729PRN Other Service ProvidersSpecialist 
2085R0202X9729PRY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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