Organization Active NPI

Maria Munoz MD PA

  • Family Medicine Physician
  • San Benito, TX
National Provider Identifier
1194907956
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M1251 Issued in TX
Legal business name
MARIA MUNOZ MD PA
Practice address
2395 La Palma St Ste H-I
San Benito, TX 78586-3320
Phone
(956) 361-3050
Fax
(956) 361-3055
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Dr. Maria De Jesus Munoz, MD
Title
Owner
Phone
(956) 361-3050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X M1251 TX Primary

Addresses

Primary practice location

2395 La Palma St Ste H-I
San Benito, TX 78586-3320

Mailing address

PO Box 1046
San Benito, TX 78586-0011
Phone (956) 361-3050

Other identifiers 2

IdentifierTypeStateIssuer
00Y883OtherTXMEDICARE
195883701MedicaidTX

National Provider Directory

National Provider Directory

Locations

2395 La Palma St
Ste Hi
San Benito, TX 78586
Phone (956) 361-3050

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1194907956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1046",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785860011",
            "telephone_number": "956-361-3050",
            "fax_number": "956-361-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 LA PALMA ST STE H-I",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785863320",
            "telephone_number": "956-361-3050",
            "fax_number": "956-361-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA MUNOZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "DE JESUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-361-3050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M1251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00Y883",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195883701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Benito, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.