Individual provider Active NPI

Maria Raquel Munoz, D.M.D.

  • General Practice Dentistry
  • Santurce, PR
National Provider Identifier
1043220353
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DM-05593-9 Issued in PR
Practice address
1908 Calle Loiza
Apt 1
Santurce, PR 00911-1890
Phone
(787) 728-0849
Fax
(787) 726-5234
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DM-05593-9 PR Primary

Addresses

Primary practice location

1908 Calle Loiza
Apt 1
Santurce, PR 00911-1890

Mailing address

1908 Calle Loiza
Apt 1
Santurce, PR 00911-1890
Phone (787) 728-0849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110001737 PR Order and Referring Only - DentistPractitioner - Dentist 9830497734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DM-05593-9PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043220353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 CALLE LOIZA",
            "address_2": "APT 1",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009111890",
            "telephone_number": "787-728-0849",
            "fax_number": "787-726-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 CALLE LOIZA",
            "address_2": "APT 1",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009111890",
            "telephone_number": "787-728-0849",
            "fax_number": "787-726-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "MARIA",
        "middle_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "DM-05593-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

Verify at the official NPI Registry.