Healthcare Provider Details

I. General information

NPI: 1295791531
Provider Name (Legal Business Name): BARBARA M MUINA M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 07/27/2021
Certification Date: 07/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9195 SUNSET DR STE 210
MIAMI FL
33173-3488
US

IV. Provider business mailing address

9195 SUNSET DR STE 210
MIAMI FL
33173-3488
US

V. Phone/Fax

Practice location:
  • Phone: 305-271-9065
  • Fax: 305-274-1470
Mailing address:
  • Phone: 305-271-9065
  • Fax: 305-274-1470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberME43455
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME43455
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: