Active NPI
Jose M Muniz, OD
- Optometrist
- Cayey, PR
National Provider Identifier
1447204169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 416
- Practice address
- 100 E de Diego Ave
Cayey, PR 00736 - Phone
- (787) 263-3011
- Fax
- (787) 263-0850
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 416 | PR | Primary |
Addresses
Primary practice location
100 E de Diego Ave
Cayey, PR 00736
Mailing address
Suite 104 la Rambla Plaza
618 Ave Tito Castro
Ponce, PR 00716-0214
Phone (787) 812-3554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 416 | Other | PR | OPTOMETRIST |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160121000103 | PR | Order and Referring Only - Optometry | 7113220450 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 416 | PR | MD | Chiropractor |
| 0416 | PR | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1447204169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SUITE 104 LA RAMBLA PLAZA",
"address_2": "618 AVE TITO CASTRO",
"city": "PONCE",
"state": "PR",
"postal_code": "007160214",
"telephone_number": "787-812-3554",
"fax_number": "787-812-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E DE DIEGO AVE",
"city": "CAYEY",
"state": "PR",
"postal_code": "00736",
"telephone_number": "787-263-3011",
"fax_number": "787-263-0850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNIZ",
"first_name": "JOSE",
"middle_name": "M",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRIST",
"identifier": "416",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cayey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.