Ferssen Eliasin Munoz Mata, DOCTOR IN PSYCHOLOGY

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7031 Issued in PR

Practice address

388 Zona Ind Reparada 2
Ponce, PR 00716-2347

Phone

(787) 812-2525

NPI assigned

Oct 26, 2018

Last updated

Dec 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inspira Behavioral Care CorpGroup PAC ID 5294863262, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Inspira Behavioral Care Corp.

  • Adult Mental Health Clinic/Center
  • Cidra, PR
  • NPI 1063928596
  Medicare reassignment Care Compare group NPD
• Inspira Behavioral Care Corp

  • Clinic/Center
  • Ponce, PR
  • NPI 1548084635
  NPD
• Inspira Behavioral Care Corp.

  • Adult Mental Health Clinic/Center
  • Humacao, PR
  • NPI 1881100311
  NPD
• Tiber Health, Public Benefit Corporation

  dba Ponce Health Sciences University

  • Dentist
  • Ponce, PR
  • NPI 1013734821
  NPD (past)

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1083181127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GRAN VISTA 1",
            "address_2": "CALLE EL PRADO #66",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-633-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 ZONA IND REPARADA 2",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162347",
            "telephone_number": "787-812-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ MATA",
        "first_name": "FERSSEN",
        "middle_name": "ELIASIN",
        "name_prefix": "Dr.",
        "credential": "DOCTOR IN PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-26",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7031",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solimar Muniz Acevedo
• Javier Muniz
• Maireen Muniz, M.S.PHL
• Angel Manuel Munoz Alicea, PH D
• Wilmarie Munoz Alvarez
• John Michael Munoz Torres
• Jose Rafael Munoz-Morales, MD
• Carlos Miguel Munoz, D.M.D.
• Kevin William Munoz
• N & N Psychological Services (Instituto de Salud Integral)

• Clinical Psychologist in Ponce, PR
• Providers in Ponce, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.