Individual
MYRIA MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
165 MILL ST, LEOMINSTER, MA 01453
(978) 466-3212
(978) 534-3581
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605
(978) 466-3212
(978) 534-3581
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
58800
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401687
EVERCARE
—
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
01
—
1107579
CIGNA HEALTH PLAN
—
01
—
1150185
FIRST HEALTH
—
01
—
26843
HEALTHY START
—
01
—
3031730
MEDICAID/WELFARE
—
05
—
3031730
—
MA
01
—
5601458
AETNA US HEALTHCARE
—
01
—
784165
MVP HEALTH CARE
—
01
—
9900817
FALLON COMMUNITY HLTH PLN
—
01
—
AA1273
HARVARD PILGRIM HEALTHCAR
—
01
—
J07172
BLUE SHIELD HMO BLUE
—
Enumeration date
03/29/2006
Last updated
02/20/2009
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