Healthcare Provider Details

I. General information

NPI: 1881523280
Provider Name (Legal Business Name): VICTOR J MUNOZ CABRERA FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11913 W PORT ROYALE LN
EL MIRAGE AZ
85335-6950
US

IV. Provider business mailing address

11913 W PORT ROYALE LN
EL MIRAGE AZ
85335-6950
US

V. Phone/Fax

Practice location:
  • Phone: 786-482-1698
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number301684
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: