MEDICARE: MRS. MARIALYS MUNOZ MCSW

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	1041C0700X	Clinical Social Worker	13912	PR

General Provider Information

NPI Number	:	1942157458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIALYS MUNOZ MCSW

Provider Business Mailing Address
First Line	:	53 CALLE 25 DE JULIO BO INDIOS
Second Line	:
City	:	GUAYANILLA
State	:	PR
Zip	:	00656
Country	:	US
Telephone Number	:	787-373-6619
Fax Number	:

Provider Business Practice Location Address
First Line	:	HC 2 BOX 8161
Second Line	:
City	:	GUAYANILLA
State	:	PR
Zip	:	00656-9724
Country	:	US
Telephone Number	:	787-373-6619
Fax Number	:

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

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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