Healthcare Provider Details

I. General information

NPI: 1194688846
Provider Name (Legal Business Name): MARIA RODRIGUEZ-MUNIZ PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA RODRIGUEZ MUNIZ PT

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 AVENIDA JOSE DE DIEGO
SAN JUAN PR
00909
US

IV. Provider business mailing address

355 AVENIDA JOSE DE DIEGO
SAN JUAN PR
00909
US

V. Phone/Fax

Practice location:
  • Phone: 787-723-6868
  • Fax:
Mailing address:
  • Phone: 787-723-6868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number004599
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: