Healthcare Provider Details

I. General information

NPI: 1922387968
Provider Name (Legal Business Name): MARIA DE LOS ANGELES MUNIZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2011
Last Update Date: 10/12/2025
Certification Date: 10/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CALLE SANTA ROSA APT 106
SAN JUAN PR
00926-5604
US

IV. Provider business mailing address

200 CALLE SANTA ROSA APT 106
SAN JUAN PR
00926-5604
US

V. Phone/Fax

Practice location:
  • Phone: 646-271-5303
  • Fax:
Mailing address:
  • Phone: 646-271-5303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License Number25MA09949600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License Number023983
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number234471-1
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number023983
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: