Individual provider Active NPI

Lorenzo Munoz, M.D.

  • Internal Medicine Physician
  • Pinellas Park, FL
National Provider Identifier
1124014766
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME118274 Issued in FL
Practice address
4423 Park Blvd N
Pinellas Park, FL 33781-3540
Phone
(727) 827-2825
Fax
(727) 827-2809
NPI assigned
Sep 20, 2005
Reactivated
May 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME118274 FL Primary

Addresses

Primary practice location

4423 Park Blvd N
Pinellas Park, FL 33781-3540

Mailing address

4423 Park Blvd N
Pinellas Park, FL 33781-3540
Phone (323) 660-5624

Other identifiers 2

IdentifierTypeStateIssuer
016330500MedicaidFL
ME118274OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160301000237 FL Practitioner - Internal Medicine 1254307903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Live Better Health Center LLCGroup PAC ID 3870744808, 2 clinicians

Practice addresses (Care Compare)

1811 N Belcher Rd
Suite H 1
Clearwater, FL 33765-1433
Phone (727) 827-2825

4423 Park Blvd
Pinellas Park, FL 33781-3540

4423 Park Blvd N
Pinellas Park, FL 33781-3540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME118274FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lorenzo Munoz, M.D. Internal Medicine PastSince Jan 1, 1990 Accepting new patients
LBH Med Group LLC PastSince Jan 1, 2016 Accepting new patients
Imperial Valley Family Care Medical Group, Apc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBIGCA/Endpoint/GBIGCA

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1124014766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 PARK BLVD N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813540",
            "telephone_number": "323-660-5624",
            "fax_number": "323-389-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 PARK BLVD N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813540",
            "telephone_number": "727-827-2825",
            "fax_number": "727-827-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "LORENZO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2016-08-18",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME118274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016330500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME118274",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.