Active NPI
Jesiel Rodriguez Muniz, MD
- Physician Assistant
- Aguada, PR
National Provider Identifier
1184219834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 705-P.A
- Practice address
- Barrio Cruces Carr. 414 Sector Goyito Muniz
Aguada, PR 00602 - Phone
- (787) 361-5874
- NPI assigned
- Mar 4, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 705-P.A | PR | Primary |
Addresses
Primary practice location
Barrio Cruces Carr. 414 Sector Goyito Muniz
Aguada, PR 00602
Mailing address
HC 57 Box 9924
Aguada, PR 00602
Phone (787) 361-5874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 705-P.A | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1184219834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 57 BOX 9924",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "787-361-5874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BARRIO CRUCES CARR. 414 SECTOR GOYITO MUNIZ",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "787-361-5874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ MUNIZ",
"first_name": "JESIEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-04",
"last_updated": "2021-03-04",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "705-P.A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aguada, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.