Individual provider Active NPI

Carlos E Munoz-Riera, D.M.D.

  • General Practice Dentistry
  • San Juan, PR
National Provider Identifier
1467568527
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
844 Issued in PR
Practice address
171 Calle del Parque
San Juan, PR 00911-1968
Phone
(787) 725-5985
Fax
(787) 723-8299
NPI assigned
Aug 22, 2006
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 Dentistry 1223G0001X 844 PR Primary

Addresses

Primary practice location

171 Calle del Parque
San Juan, PR 00911-1968

Mailing address

171 Calle del Parque
San Juan, PR 00911-1968
Phone (787) 725-5985

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160414001500 PR Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 5496053068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
844PRMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467568527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 CALLE DEL PARQUE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111968",
            "telephone_number": "787-725-5985",
            "fax_number": "787-723-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 CALLE DEL PARQUE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111968",
            "telephone_number": "787-725-5985",
            "fax_number": "787-723-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ-RIERA",
        "first_name": "CARLOS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.