Individual provider Active NPI

Miosotis Munoz Pena, MD

  • General Practice Physician
  • Cidra, PR
National Provider Identifier
1396453965
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22744 Issued in PR
Practice address
Ave El Jibaro Carr 172 KM 13.5
Cidra, PR 00739
Phone
(787) 739-8182
NPI assigned
Nov 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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 22744 PR Primary

Addresses

Primary practice location

Ave El Jibaro Carr 172 KM 13.5
Cidra, PR 00739

Mailing address

HC 20 Box 10401
Juncos, PR 00777-9618
Phone (787) 739-8182

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
I20230427000163 PR Practitioner - General Practice 2466817689 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22744PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cossma, Inc. CurrentSince Jan 24, 2025 Accepting new patients
Cossma Inc CurrentSince Jan 24, 2025 Accepting new patients
Tiger Med Corp CurrentSince Mar 1, 2023 Accepting new patients
Cossma PastSince Aug 18, 2024 Accepting new patients

Locations

181 Calle Munoz Rivera S
#186
San Lorenzo, PR 00754

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGGFBD

Organizations & group practices 4

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": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1396453965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 20 BOX 10401",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007779618",
            "telephone_number": "787-739-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE EL JIBARO CARR 172 KM 13.5",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-739-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ PENA",
        "first_name": "MIOSOTIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.