Individual provider Active NPI

Rebecca Muniz-Medina, D.C.

  • Chiropractor
  • Isabela, PR
National Provider Identifier
1235447582
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
482 Issued in PR
Practice address
4030 Ave Militar
Isabela, PR 00662-4154
Phone
(787) 830-8855
Fax
(787) 872-5006
NPI assigned
Sep 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 482 PR Primary

Addresses

Primary practice location

4030 Ave Militar
Isabela, PR 00662-4154

Mailing address

PO Box 546
Isabela, PR 00662-0546
Phone (787) 830-8855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121003000341 PR Practitioner - Chiropractic 4385827716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4030 Ave Militar
Isabela, PR 00662-4154
Phone (787) 830-8855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
482PRMDChiropractor
458PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Quiropractico Dra Muniz Chiropractor CurrentSince Jan 31, 2011 Accepting new patients

Locations

4030 Ave Militar
Isabela, PR 00662
Phone (787) 830-8855

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1235447582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620546",
            "telephone_number": "787-830-8855",
            "fax_number": "787-872-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 AVE MILITAR",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624154",
            "telephone_number": "787-830-8855",
            "fax_number": "787-872-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIZ-MEDINA",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.