IndividualActive
Brian Muniz, PAC
NPI 1447760368 · Physician Assistant · Santa Rosa, NM
Provider details
- NPI number
- 1447760368
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA2017-0082 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
117 Camino De Vida Ste 300
Santa Rosa, NM 88435-2267
Phone: (575) 472-4311
Fax: (575) 472-4313
Approximate (ZIP-level) locationGet directions
Mailing address
117 Camino De Vida Ste 300
Santa Rosa, NM 88435-2267
Registry dates
- Enumerated
- 2017-10-05
- Last updated
- 2017-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.