Healthcare Provider Details

I. General information

NPI: 1144045139
Provider Name (Legal Business Name): FRANCISCO GABRIEL MUNIZ BA IN EDUCATION
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2024
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 CALLE LOAIZA CORDERO
SAN JUAN PR
00918-3325
US

IV. Provider business mailing address

PO BOX 20100
SAN JUAN PR
00928-0100
US

V. Phone/Fax

Practice location:
  • Phone: 939-940-0898
  • Fax:
Mailing address:
  • Phone: 939-940-0898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: