MEDICARE: SILVINO B MUNESES MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D0007309	MD

General Provider Information

NPI Number	:	1245656685
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVINO B MUNESES MD PA

Provider Business Mailing Address
First Line	:	10 CHICKORY CT
Second Line	:
City	:	GLEN ARM
State	:	MD
Zip	:	21057-9121
Country	:	US
Telephone Number	:	410-355-1131
Fax Number	:	410-355-4084

Provider Business Practice Location Address
First Line	:	3721 POTEE ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21225-1717
Country	:	US
Telephone Number	:	410-355-1131
Fax Number	:	410-913-4176

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	DR. SILVINO B MUNESES
Credential	:	MD
Telephone Number	:	410-355-1131

Provider Enumeration Date	:	03/10/2014
Last Update Date	:	03/10/2014

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