Active NPI
Jorge Fernando Munoz, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- San Juan, PR
National Provider Identifier
1285832741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 17645
- Practice address
- 256 Calle Rosario
Cond. El Rosario 306
San Juan, PR 00912-3113 - Phone
- (214) 794-6509
- NPI assigned
- Jul 6, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 17645 | PR | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 17645 | PR | Primary |
| Clinical Neurophysiology Physician | 2084N0600X | 17645 | PR |
Addresses
Primary practice location
256 Calle Rosario
Cond. El Rosario 306
San Juan, PR 00912-3113
Mailing address
256 Calle Rosario
Cond. El Rosario 306
San Juan, PR 00912
Phone (214) 794-6509
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17645 | PR | MD | Neurology with Special Qualifications in Child Neurology Physician |
Interoperability endpoints
- sjcjomunoz@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426809600000",
"number": "1285832741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 CALLE ROSARIO",
"address_2": "COND. EL ROSARIO 306",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00912",
"telephone_number": "214-794-6509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 CALLE ROSARIO",
"address_2": "COND. EL ROSARIO 306",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009123113",
"telephone_number": "214-794-6509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ",
"first_name": "JORGE",
"middle_name": "FERNANDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-06",
"last_updated": "2015-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "17645",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "PR",
"license": "17645",
"primary": true
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "PR",
"license": "17645",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.