Individual provider Active NPI

Julio Nieves Muniz, MD

  • General Practice Physician
  • Quebradillas, PR
National Provider Identifier
1366042319
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22105 Issued in PR
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.

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
15107IPRMDGeneral Practice Physician
22105PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Pavia Healthcare Centers Inc Current Accepting new patients
Metro Pavia Healthcare Centers Inc CurrentSince Apr 12, 2024 Accepting new patients
Metro Pavia Healthcare Center CurrentSince Apr 12, 2024 Accepting new patients
Rafael a. Machin Porrata, LLC CurrentSince Dec 21, 2022 Accepting new patients
Doctora Magaly Gonzalez Mestre Optometra, CSP PastSince Dec 21, 2022 Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15107I PR
General Practice Physician 208D00000X 22105 PR Primary

Addresses

NPPES NPI Registry

Primary 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
TypeEndpointUseAffiliation
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

Verify at the official NPI Registry.