Individual provider Active NPI

Magali Muniz-Mariani, D.M.D.

  • Periodontics
  • San Juan, PR
National Provider Identifier
1063491694
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2120 Issued in PR
Practice address
A3 Calle Lodi
Urb. Luarca
San Juan, PR 00924-3804
Phone
(787) 764-2424
Fax
(787) 296-2424
NPI assigned
Jan 12, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 2120 PR Primary

Addresses

Primary practice location

A3 Calle Lodi
Urb. Luarca
San Juan, PR 00924-3804

Mailing address

A39 Calle 1
Parques de San Ignacio
San Juan, PR 00921-4839
Phone (787) 764-2424

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
I20160328001002 PR Order and Referring Only - DentistPractitioner - Dentist 7416254057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063491694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A39 CALLE 1",
            "address_2": "PARQUES DE SAN IGNACIO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009214839",
            "telephone_number": "787-764-2424",
            "fax_number": "787-296-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A3 CALLE LODI",
            "address_2": "URB. LUARCA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243804",
            "telephone_number": "787-764-2424",
            "fax_number": "787-296-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIZ-MARIANI",
        "first_name": "MAGALI",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PR",
            "license": "2120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.