MEDICARE: DR. MARIA S. MUNOZ BERRIOS DR

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	103TC0700X	Clinical Psychologist	954	PR

General Provider Information

NPI Number	:	1558435529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA S. MUNOZ BERRIOS DR

Provider Business Mailing Address
First Line	:	791 CALLE GUATEMALA
Second Line	:	LAS AMERICAS
City	:	SAN JUAN
State	:	PR
Zip	:	00921-2308
Country	:	US
Telephone Number	:	787-309-8754
Fax Number	:

Provider Business Practice Location Address
First Line	:	GO35 AVE ROBERTO SANCHEZ VILELLA
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00982-2678
Country	:	US
Telephone Number	:	787-309-8754
Fax Number	:

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

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	01/29/2020

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