Individual provider Active NPI

Luis Josue Muniz-Hernandez

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1154966133
Registry record updated Nov 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23560 Issued in PR
Practice address
Avenida Severiano Cuevas #18
KM. 141.1 Bo.Caimital Bajo
Aguadilla, PR 00603
Phone
(787) 659-5959
NPI assigned
Nov 13, 2019
Last updated
Nov 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23560 PR Primary

Addresses

Primary practice location

Avenida Severiano Cuevas #18
KM. 141.1 Bo.Caimital Bajo
Aguadilla, PR 00603

Mailing address

PO Box 357
Moca, PR 00676-0357

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250225003742 PR Practitioner - General Practice 4981124518 Practice locations: Moca, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699056000000",
    "number": "1154966133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA SEVERIANO CUEVAS #18",
            "address_2": "KM. 141.1 BO.CAIMITAL BAJO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-659-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIZ-HERNANDEZ",
        "first_name": "LUIS",
        "middle_name": "JOSUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2023-11-04",
        "certification_date": "2023-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.