Healthcare Provider Details

I. General information

NPI: 1063347086
Provider Name (Legal Business Name): MISS ASHLEY MARIE MUNOZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 MENDON RD STE 211
CUMBERLAND RI
02864-4340
US

IV. Provider business mailing address

1725 MENDON RD STE 211
CUMBERLAND RI
02864-4340
US

V. Phone/Fax

Practice location:
  • Phone: 401-725-5798
  • Fax: 508-779-7702
Mailing address:
  • Phone: 401-725-5798
  • Fax: 508-779-7702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHAD00322
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: