MEDICARE: EDGARDO GONZALEZ MUNOZ

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	183500000X	Pharmacist	30639	MD

General Provider Information

NPI Number	:	1326915794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDGARDO GONZALEZ MUNOZ

Provider Business Mailing Address
First Line	:	2106 BELVEDERE BLVD APT 562
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-5637
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2106 BELVEDERE BLVD APT 562
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-5637
Country	:	US
Telephone Number	:	939-268-1666
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2025
Last Update Date	:	10/24/2025

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