Healthcare Provider Details

I. General information

NPI: 1922219625
Provider Name (Legal Business Name): CRIMILDA MUNIZ RNBSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE AGUSTIN RAMOS CALERO BZN 737
ISABELA PR
00662
US

IV. Provider business mailing address

SECT CAPIRO CALLE CANARIO BZN 130 CALLE CANARIO BZN 130
ISABELA PR
00662
US

V. Phone/Fax

Practice location:
  • Phone: 787-830-2707
  • Fax: 787-830-0465
Mailing address:
  • Phone: 787-830-2707
  • Fax: 787-830-0465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number18650
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: