Provider Demographics
NPI:1548499387
Name:VENTO DE MUNOZ, MARIA ANGELICA (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ANGELICA
Last Name:VENTO DE MUNOZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ANGELICA
Other - Last Name:VENTO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:21332 NE 18TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-1550
Mailing Address - Country:US
Mailing Address - Phone:305-935-8826
Mailing Address - Fax:
Practice Address - Street 1:21332 NE 18TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-1550
Practice Address - Country:US
Practice Address - Phone:305-935-8826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME58365207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology