Active NPI
Julio Nieves Muniz, MD
- General Practice Physician
- Quebradillas, PR
National Provider Identifier
1366042319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 22105
- Practice address
- 264 Calle Santa Elena
Quebradillas, PR 00678-2920 - Phone
- (787) 244-6498
- NPI assigned
- Oct 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
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.
-
- Clinical Medical Laboratory
- Bayamon, PR
- NPI 1841694072
-
- Multi-Specialty Clinic/Center
- Arecibo, PR
- NPI 1104166750
-
- Exclusive Provider Organization
- San Sebastian, PR
- NPI 1609144757
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210312001437 | PR | Practitioner - General Practice | 8921414194 |
Reassigns benefits to 2 organizations Practice locations: Quebradillas, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15107I | PR | MD | General Practice Physician |
| 22105 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Pavia Healthcare Centers Inc | Current | Accepting new patients | |
| Metro Pavia Healthcare Centers Inc | Current | Accepting new patients | |
| Metro Pavia Healthcare Center | Current | Accepting new patients | |
| Rafael a. Machin Porrata, LLC | Current | Accepting new patients | |
| Doctora Magaly Gonzalez Mestre Optometra, CSP | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 15107I | PR | |
| General Practice Physician | 208D00000X | 22105 | PR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
264 Calle Santa Elena
Quebradillas, PR 00678-2920
Mailing address
264 Calle Santa Elena
Quebradillas, PR 00678-2920
Phone (787) 244-6498
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ehr | Health Information Exchange (HIE) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 10, 2021.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1366042319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 CALLE SANTA ELENA",
"city": "QUEBRADILLAS",
"state": "PR",
"postal_code": "006782920",
"telephone_number": "787-244-6498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 CALLE SANTA ELENA",
"city": "QUEBRADILLAS",
"state": "PR",
"postal_code": "006782920",
"telephone_number": "787-244-6498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES MUNIZ",
"first_name": "JULIO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-29",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "15107I",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "22105",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ehr",
"affiliation": "N",
"endpointDescription": "electronic health record",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "PR-129 KM 0.7",
"address_2": "suite 102",
"city": "arecibo",
"state": "PR",
"country_code": "US",
"postal_code": "00613",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Quebradillas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.