Healthcare Provider Details

I. General information

NPI: 1740101088
Provider Name (Legal Business Name): ENRIQUE MUNOZ PARAMEDIC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 560 BOX 352
APO AP
96376-0004
US

IV. Provider business mailing address

PSC 560 BOX 352
APO AP
96376-0004
US

V. Phone/Fax

Practice location:
  • Phone: 303-710-9146
  • Fax: 303-710-9146
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberM5131890
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: