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NPI Code Detail

MEDICARE: MRS. GRISSEL MUNOZ VARGAS M.D.

MEDICARE: MRS. GRISSEL MUNOZ VARGAS 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
1208000000XPediatrics Physician11513PR

General Provider Information

NPI Number : 1134174675
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GRISSEL MUNOZ VARGAS M.D.
Provider Business Mailing Address
First Line : 1654 CALLE SANTA ANGELA
Second Line : URB. SAGRADO CORAZON
City : SAN JUAN
State : PR
Zip : 00926-4111
Country : US
Telephone Number : 787-761-1719
Fax Number :
Provider Business Practice Location Address
First Line : 2020 AVE BORINQUEN
Second Line :
City : SAN JUAN
State : PR
Zip : 00915-3822
Country : US
Telephone Number : 787-268-4171
Fax Number : 787-727-3695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 04/23/2013

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