Individual provider Active NPI

Briseida Munoz, MD

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1174643308
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ACN1250 Issued in FL
Practice address
1117 S Semoran Blvd Ste B
Orlando, FL 32807-1480
Phone
(407) 930-1114
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hospice and Palliative Medicine Physician 2080H0002X 8076 PR
Pediatrics Physician 208000000X ACN1250 FL Primary

Addresses

Primary practice location

1117 S Semoran Blvd Ste B
Orlando, FL 32807-1480

Mailing address

4425 Lake Calabay Dr
Orlando, FL 32837-5468
Phone (787) 646-8926

Other identifiers 1

IdentifierTypeStateIssuer
29746MUOtherPRSSS

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
I20230824001205 FL Practitioner - Pediatric Medicine 0244693208 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8076PRMDPediatric Hospice and Palliative Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Medical Group LLC Pediatrics CurrentSince Jul 10, 2023 Accepting new patients
Advantage Medical Group LLC PastSince Jul 10, 2023 Accepting new patients

Locations

715 E Vine St
Ste 1
Kissimmee, FL 34744
Phone (407) 930-1112

1117 S Semoran Blvd
Orlando, FL 32807
Phone (407) 930-1112

1117 S Semoran Blvd
Ste B
Orlando, FL 32807
Phone (407) 930-1114

1111 S Semoran Blvd
Ste B
Orlando, FL 32807
Phone (407) 930-1112

Organizations & group practices 2

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1174643308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 LAKE CALABAY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375468",
            "telephone_number": "787-646-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S SEMORAN BLVD STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071480",
            "telephone_number": "407-930-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "BRISEIDA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080H0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "PR",
            "license": "8076",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ACN1250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "29746MU",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.