Individual
DR. WANDA E ORTIZ MUNIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
8867
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060032
CRUZ AZUL PROV NUMBER
PR
01
—
1259A
PMC PROVIDER NUMBER
PR
01
—
214148
PREFERRED HEALTH PROV NUM
PR
01
—
600683
MMM PROVIDER NUMBER
PR
01
—
7010026
HUMANA PROVIDER NUMBER
PR
01
—
82283OR
TRIPLE S PROVIDER NUMBER
PR
Enumeration date
02/05/2007
Last updated
01/24/2018
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