Individual provider Active NPI

Armando Luis Munoz, 14155

  • General Practice Physician
  • Juana Diaz, PR
National Provider Identifier
1336353184
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14155 Issued in PR
Practice address
6 Calle la Cruz
Juana Diaz, PR 00795-2430
Phone
(787) 837-2265
Fax
(787) 260-1441
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 14155 PR Primary

Addresses

Primary practice location

6 Calle la Cruz
Juana Diaz, PR 00795-2430

Mailing address

3429 Paseo Versatil Urb. Vista Point
Ponce, PR 00716-4824
Phone (787) 848-6676

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
I20111121000815 PR Practitioner - General Surgery 1658545041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Hospital Service IncGroup PAC ID 6709847239, 2 clinicians

Practice addresses (Care Compare)

6 Calle la Cruz
Juana Diaz, PR 00795-2430
Phone (787) 837-2265

Hospital & facility affiliations

  • Angeles San Cristobal Home health agency, Juana Diaz, PR, CCN 407033
  • Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas Inc Hospice, Ponce, PR, CCN 401530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14155PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Hospital Service Inc CurrentSince Sep 12, 2011 Accepting new patients
Southern Hospital Services Inc CurrentSince Sep 12, 2011 Accepting new patients

Locations

6 Calle La Cruz
Juana Diaz, PR 00795
Phone (787) 837-2265

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Angeles San CristobolJuana Diaz, PR, CCN 407033 Home health agency Contracted Managing Employee Aug 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336353184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 PASEO VERSATIL URB. VISTA POINT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164824",
            "telephone_number": "787-848-6676",
            "fax_number": "787-842-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CALLE LA CRUZ",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007952430",
            "telephone_number": "787-837-2265",
            "fax_number": "787-260-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "ARMANDO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "14155",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

Verify at the official NPI Registry.