MEDICARE: CARLOS A MUNOZ TORRES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	21722	PR

General Provider Information

NPI Number	:	1053724658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS A MUNOZ TORRES M.D.

Provider Business Mailing Address
First Line	:	PO BOX 249
Second Line	:
City	:	SANTA ISABEL
State	:	PR
Zip	:	00757-0249
Country	:	US
Telephone Number	:	787-341-1869
Fax Number	:

Provider Business Practice Location Address
First Line	:	CARR. #3 KM. 8.3 AVE 65 INFANTERIA
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00984-6021
Country	:	US
Telephone Number	:	787-757-1800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2014
Last Update Date	:	07/03/2020

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