Healthcare Provider Details

I. General information

NPI: 1679329841
Provider Name (Legal Business Name): JULIANNA MARIA MUNOZ-SILVA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2024
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MAYAGUEZ MEDICAL CTR
MAYAGUEZ PR
00682-1560
US

IV. Provider business mailing address

PO BOX 1780
YAUCO PR
00698-1780
US

V. Phone/Fax

Practice location:
  • Phone: 787-652-9200
  • Fax:
Mailing address:
  • Phone: 787-652-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number37922R
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: