Active NPI
Diana H Rodriguez - Munoz, M.D.
- Family Medicine Physician
- San Juan, PR
National Provider Identifier
1023234424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7088
- Practice address
- Urb Rio Piedras Heights
209 Calle Bistula
San Juan, PR 00926 - Phone
- (787) 763-6196
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 7088 | PR | |
| Family Medicine Physician | 207Q00000X | 7088 | PR | Primary |
| Family Medicine Physician | 207Q00000X | 4301064743 | MI |
Addresses
Primary practice location
Urb Rio Piedras Heights
209 Calle Bistula
San Juan, PR 00926
Mailing address
Urb Rio Piedras Heights
209 Calle Bistula
San Juan, PR 00926
Phone (787) 763-6196
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28466 | Other | PR | TRIPLE-S PROVIDER ID |
| 3313658 | Medicaid | PR | |
| DR064743 | Other | PR | BLUE CROSS BLUE SHIELD |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301064743 | MI | MD | Family Medicine Physician |
| 7088 | PR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355097600000",
"number": "1023234424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB RIO PIEDRAS HEIGHTS",
"address_2": "209 CALLE BISTULA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-763-6196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB RIO PIEDRAS HEIGHTS",
"address_2": "209 CALLE BISTULA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-763-6196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ - MUNOZ",
"first_name": "DIANA",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2012-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PR",
"license": "7088",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "7088",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301064743",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE-S PROVIDER ID",
"identifier": "28466",
"state": "PR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3313658",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "DR064743",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.