Healthcare Provider Details

I. General information

NPI: 1033207998
Provider Name (Legal Business Name): EDUARDO J MUNIZ - VELEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 04/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 CALLE ORQUIDEA URB. SANTA MARIA
SAN JUAN PR
00927-6733
US

IV. Provider business mailing address

67 CALLE ORQUIDEA URB. SANTA MARIA
SAN JUAN PR
00927-6733
US

V. Phone/Fax

Practice location:
  • Phone: 787-281-0719
  • Fax: 787-766-1702
Mailing address:
  • Phone: 787-281-0719
  • Fax: 787-766-1702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number13025
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number13025
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: