Active NPI
Benjamin Eloy Munoz, PHYSICAL THERAPIST
- Physical Therapist
- El Paso, TX
National Provider Identifier
1184773863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1159940
- Practice address
- 5005 N Piedras St
Wbamc
El Paso, TX 79920-5001 - Phone
- (915) 569-1233
- NPI assigned
- Jan 10, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1159940 | TX | Primary |
Addresses
Primary practice location
5005 N Piedras St
Wbamc
El Paso, TX 79920-5001
Mailing address
12720 Tierra Aurora
El Paso, TX 79938
Phone (915) 921-7378
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1159940 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184773863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12720 TIERRA AURORA",
"city": "EL PASO",
"state": "TX",
"postal_code": "79938",
"telephone_number": "915-921-7378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 N PIEDRAS ST",
"address_2": "WBAMC",
"city": "EL PASO",
"state": "TX",
"postal_code": "799205001",
"telephone_number": "915-569-1233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ",
"first_name": "BENJAMIN",
"middle_name": "ELOY",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1159940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.