BRIAN T MUNIZ


Address: 117 Camino De Vida Ste 300, Santa Rosa, NM 88435-2267
Phone: 5754724311

BRIAN T MUNIZ (NPI# 1447760368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447760368
Entity Type Individual
Full Name BRIAN T MUNIZ
Credential PAC
Practice Address 117 Camino De Vida Ste 300
Santa Rosa
NM 88435-2267
Practice Telephone 5754724311
Practice Fax Number 5754724313
Mailing Telephone 5754724311
Mailing Fax Number 5754724313
Enumeration Date 2017-10-05
Last Update Date 2017-10-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA2017-0082 NM Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 117 CAMINO DE VIDA STE 300
City SANTA ROSA
State NM
Zip Code 88435-2267

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447592498 Mark Land Grossetete Psychiatry & Neurology 117 Camino De Vida Ste 300, Santa Rosa, NM 88435 2013-03-17
1225695018 Senora L Campos Nurse Practitioner 117 Camino De Vida Ste 300, Santa Rosa, NM 88435-2267 2019-05-28
1568946861 Denia Victoria Guinart Gutierrez Nurse Practitioner 117 Camino De Vida Ste 300, Santa Rosa, NM 88435-2267 2018-09-21
1366824963 Mary M Kenyon Nurse Practitioner 117 Camino De Vida Ste 300, Santa Rosa, NM 88435-2267 2015-06-19
1811375769 David Calkins, Md, LLC Non-Pharmacy Dispensing Site 117 Camino De Vida Ste 300, Santa Rosa, NM 88435-2267 2015-05-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326548322 Katherine E Cerico Physical Therapist 1972 Historic Route 66, Santa Rosa, NM 88435 2018-02-15
1770017055 Michael Montoya Social Worker 724 Park Lake Drive, Santa Rosa, NM 88435 2017-04-13
1962743534 De Baca Family Practice Clinic Clinic/Center 552 Us Hwy 54, Santa Rosa, NM 88435 2013-03-07
1861728032 Sonya Mireles Counselor 501 S Fourth St, Santa Rosa, NM 88435 2009-10-23
1255664231 Victoria N Silva Counselor 501 S. Forth St., Santa Rosa, NM 88435 2009-09-09
1922039171 Santa Rosa Medical Clinic Internal Medicine 533 Lake Dr, Santa Rosa, NM 88435 2006-07-06
1467750653 Cassidy Ruth Huffman Counselor 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 2011-03-11
1134455306 Anita Valencia Counselor 501 S Fourth St, Santa Rosa, NM 88435 2009-10-23
1841273554 Dawn R Back Physician Assistant 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 2005-11-28
1952621070 Erica Nicole Romero Social Worker 260 N 3rd St, Santa Rosa, NM 88435-2006 2010-06-11
Find all providers in zip 88435

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588139091 Jenny Quan Physician Assistant 2300 Mendocino Ave Ste 4, Santa Rosa, CA 95403-3115 2018-10-11
1760978506 Rhett Chandler Lacey Physician Assistant 545 Caber Dr, Santa Rosa, CA 95409-4404 2018-07-05
1417079112 James Thomas Williams Physician Assistant 728 Mendocino Ave, Santa Rosa, CA 95401-4804 2007-04-04
1356491112 Jaremy Lowe Kwock Physician Assistant 525 Doyle Park Dr Ste 102, Santa Rosa, CA 95405-4562 2007-01-11
1235203274 Ann S Bruner-welch Physician Assistant 401 Bicentennial Way # 120, Santa Rosa, CA 95403-2149 2006-11-20
1770672925 Robert Evan Crenshaw Physician Assistant 401 Bicentennial Way Ste 120, Santa Rosa, CA 95403-2149 2006-10-12
1982640298 Amy K Jones Physician Assistant 1221 N Dutton Ave, Concentra Medical Group, Santa Rosa, CA 95401-4607 2006-06-22
1821068669 Christine J Perkowska Physician Assistant 583 Summerfield Rd, Santa Rosa, CA 95405-5239 2006-01-24
1649265976 Heather Noel Silva Physician Assistant 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 2005-09-13
1538167226 Wendy A Williams Physician Assistant 2455 Summerfield Rd, Santa Rosa, CA 95405-7815 2005-07-07
Find all providers in SANTA ROSA

Competitor

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City SANTA ROSA
Zip Code 88435

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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