Healthcare Provider Details

I. General information

NPI: 1265184097
Provider Name (Legal Business Name): RUJINA MUNIM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2022
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 SW 62ND AVE, SUITE 401
MIAMI FL
33143
US

IV. Provider business mailing address

1003 CROSBY RD
CATONSVILLE MD
21228-1240
US

V. Phone/Fax

Practice location:
  • Phone: 305-284-7500
  • Fax:
Mailing address:
  • Phone: 410-606-8696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number49835
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: