Individual provider Active NPI

Eliasin Munoz Gonzalez, M.D.

  • Family Medicine Physician
  • Mayaguez, PR
National Provider Identifier
1013024587
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9121 Issued in PR
Practice address
351 Ave Hostos
Medical Emporium I Suite 205
Mayaguez, PR 00680-1509
Phone
(787) 831-5831
Fax
(787) 827-8020
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9121 PR Primary

Addresses

Primary practice location

351 Ave Hostos
Medical Emporium I Suite 205
Mayaguez, PR 00680-1509

Mailing address

PO Box 472
Mayaguez, PR 00681-0472
Phone (787) 690-2157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9121PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MMCW Family Medical Center LLC Family Medicine PastSince Sep 1, 2021 Accepting new patients
MMR Instituto de Medicina de Famillia del Oeste Family Medicine Past Accepting new patients
MM Management Corp Past Accepting new patients
Advanced Wound Care Inc Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1013024587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 472",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810472",
            "telephone_number": "787-690-2157",
            "fax_number": "787-833-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 AVE HOSTOS",
            "address_2": "MEDICAL EMPORIUM I SUITE 205",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801509",
            "telephone_number": "787-831-5831",
            "fax_number": "787-827-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ GONZALEZ",
        "first_name": "ELIASIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "9121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.