Individual
MANUEL MUNIZ ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
65 CALLE BOBBY CAPO, COAMO, PR 00769-2451
(787) 964-9635
Mailing address
65 CALLE BOBBY CAPO, COAMO, PR 00769
(787) 964-9635
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
15799
PR
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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