Active NPI
Lorenzo Munoz, M.D.
- Internal Medicine Physician
- Pinellas Park, FL
National Provider Identifier
1124014766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME118274
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016330500 | Medicaid | FL | |
| ME118274 | Other | FL | MEDICAL 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
Enrollment records 1
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
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME118274 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lorenzo Munoz, M.D. | Internal Medicine | Past | Accepting new patients |
| LBH Med Group LLC | Past | Accepting new patients | |
| Imperial Valley Family Care Medical Group, Apc | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Health Service Clinic/Center
- Pinellas Park, FL
- NPI 1669757738
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1467775130
-
- Health Service Clinic/Center
- Pinellas Park, FL
- NPI 1639620651
-
- Cardiac Rehabilitation Registered Nurse
- Imperial, CA
- NPI 1750112587
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.