| Doctor Name: | ELIZABETH MUNOZ |
| NPI Number: | 1083952196 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LND |
| License Number: | 1695 |
| Business Practice Address: | Calle Valeriano Munoz #112 San Lorenzo, PR - 007541283 |
| Business Phone Number: | 7874545992 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1283, Pmb 13 SAN LORENZO |
| State: | PR |
| Postal Code: | 007541283 |
| Phone Number: | 7874545992 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2013 |
| NPI Last Update Date: | 01/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | 1695 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |