Provider Demographics
NPI:1679749774
Name:VERA MUNIZ, CARLOS JUAN (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:JUAN
Last Name:VERA MUNIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:658 CALLE MIRAMAR
Mailing Address - Street 2:NO. 1602
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-3450
Mailing Address - Country:US
Mailing Address - Phone:787-724-1630
Mailing Address - Fax:
Practice Address - Street 1:658 CALLE MIRAMAR
Practice Address - Street 2:NO 1602
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-3450
Practice Address - Country:US
Practice Address - Phone:787-724-1630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11841207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine