Healthcare Provider Details

I. General information

NPI: 1043137060
Provider Name (Legal Business Name): JOSHUA EMMANUEL MUNIZ RODRIGUEZ MS; CCC-SLP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RR 1 BOX 12394
TOA ALTA PR
00953-8742
US

IV. Provider business mailing address

RR 1 BOX 12394
TOA ALTA PR
00953-8742
US

V. Phone/Fax

Practice location:
  • Phone: 787-479-8051
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14231042-4102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: