Provider Demographics
NPI:1801099601
Name:MUNOZ, ARLYN I (MA)
Entity type:Individual
Prefix:MS
First Name:ARLYN
Middle Name:I
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AVE FEDERICO MONTILLA 1500
Mailing Address - Street 2:COND TORRE DEL PARQUE NORTE 201
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-599-1541
Mailing Address - Fax:
Practice Address - Street 1:47 CALLE GEORGETTI
Practice Address - Street 2:PISO 3
Practice Address - City:NARANJITO
Practice Address - State:PR
Practice Address - Zip Code:00719-3027
Practice Address - Country:US
Practice Address - Phone:787-869-1706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1317103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical