Individual provider Active NPI

Benito Munoz Jr., MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • San Juan, TX
National Provider Identifier
1205464021
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145713 Issued in TX
Practice address
722 S Nebraska Ave
San Juan, TX 78589-2650
Phone
(956) 783-7088
Fax
(956) 783-5657
NPI assigned
Mar 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 821812 TX
Family Nurse Practitioner 363LF0000X AP145713 TX Primary

Addresses

Primary practice location

722 S Nebraska Ave
San Juan, TX 78589-2650

Mailing address

722 S Nebraska Ave
San Juan, TX 78589-2650
Phone (956) 783-7088

Other practice location 1

1601 Buffalo Dr
Raymondville, TX 78580-4115
Phone (956) 689-9999

Other practice location 2

336 S 8th St
Raymondville, TX 78580-2526
Phone (956) 689-2456

Other identifiers 1

IdentifierTypeStateIssuer
1N3748OtherTXMEDICARE

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
821812TXMDRegistered Nurse
AP145713TXMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: benito.munoz@476190948130820.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1205464021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 S NEBRASKA AVE",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785892650",
            "telephone_number": "956-783-7088",
            "fax_number": "956-783-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 S NEBRASKA AVE",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785892650",
            "telephone_number": "956-783-7088",
            "fax_number": "956-783-5657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Buffalo Dr",
            "address_purpose": "LOCATION",
            "city": "Raymondville",
            "state": "TX",
            "postal_code": "785804115",
            "country_code": "US",
            "telephone_number": "956-689-9999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "336 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Raymondville",
            "state": "TX",
            "postal_code": "785802526",
            "country_code": "US",
            "telephone_number": "956-689-2456",
            "fax_number": "956-783-5657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "BENITO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-28",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "821812",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1N3748",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.