Individual provider Active NPI

Angel S. Muntaner-Morales, MD

  • General Practice Physician
  • Ceiba, PR
National Provider Identifier
1194793935
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9737 Issued in PR
Practice address
205 Ave Lauro Pinero
Ceiba, PR 00735-2701
Phone
(787) 885-4446
Fax
(787) 885-6129
NPI assigned
Mar 9, 2006
Last updated
Aug 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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 9737 PR Primary

Addresses

Primary practice location

205 Ave Lauro Pinero
Ceiba, PR 00735-2701

Mailing address

PO Box 1001
Luquillo, PR 00773-1001
Phone (787) 885-4446

Other identifiers 9

IdentifierTypeStateIssuer
6804OtherPRFIRST MEDICAL
23641OtherPRPROSSAM
201865OtherPRPREFERRED HEALTHCARE ID
1199737OtherPRGLOBAL HEALTH
82186OtherPRSSS ID
060367OtherPRCRUZ AZUL ID
7350001OtherPRHUMANA ID
500054SEOtherPRMMM HEALTHCARE ID
3943933OtherPRCIGNA

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
I20071228000092 PR Practitioner - General Practice 5395825640 Reassigns benefits to 3 organizations
Practice locations: Ceiba, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

205 Ave Lauro Pinero
Ceiba, PR 00735-2701
Phone (787) 885-4446

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rico Primary Care Mso, Inc. - CDT Luquillo CurrentSince May 24, 2023 Accepting new patients
Preventive Medical Care Services, PSC CurrentSince Sep 16, 2012 Accepting new patients
Puerto Rico Primary Care, Mso, Inc. - Laboratorio CurrentSince May 24, 2023 Accepting new patients
East Coast Medical Services Inc PastSince Aug 8, 2017 Accepting new patients

Locations

205 Ave Lauro Pinero
Ceiba, PR 00735
Phone (787) 221-5000

159 Calle Quinto Centenario
Luquillo, PR 00773
Phone (787) 500-7752

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1194793935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1001",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007731001",
            "telephone_number": "787-885-4446",
            "fax_number": "787-885-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 AVE LAURO PINERO",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "007352701",
            "telephone_number": "787-885-4446",
            "fax_number": "787-885-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNTANER-MORALES",
        "first_name": "ANGEL",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "6804",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSSAM",
            "identifier": "23641",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTHCARE ID",
            "identifier": "201865",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GLOBAL HEALTH",
            "identifier": "1199737",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS ID",
            "identifier": "82186",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL ID",
            "identifier": "060367",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA ID",
            "identifier": "7350001",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM HEALTHCARE ID",
            "identifier": "500054SE",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3943933",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceiba, PR

Sources for this page

Verify at the official NPI Registry.