Organization Active NPI

Munoz Internal Medicine Services C.S.P.

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1619630613
Registry record updated May 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MUNOZ INTERNAL MEDICINE SERVICES C.S.P.
Practice address
29 Calle Washington Ste 208B
San Juan, PR 00907-1561
Phone
(787) 721-4836
Fax
(787) 721-8448
NPI assigned
Oct 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ernesto J Munoz Vilches, MDNPI 1861436461
Title
President
Phone
(787) 630-4060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

29 Calle Washington Ste 208B
San Juan, PR 00907-1561

Mailing address

55 Calle de la Fidelidad
Caguas, PR 00725-1844
Phone (787) 721-4836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241217003887 PR Part B Supplier - Clinic/Group Practice 5991232779 Receives reassigned benefits from 2 practitioners
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

29 Calle Washington
Ste 208B
San Juan, PR 00907
Phone (787) 721-4836

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716595200000",
    "number": "1619630613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CALLE DE LA FIDELIDAD",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251844",
            "telephone_number": "787-721-4836",
            "fax_number": "787-721-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CALLE WASHINGTON STE 208B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071561",
            "telephone_number": "787-721-4836",
            "fax_number": "787-721-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNOZ INTERNAL MEDICINE SERVICES C.S.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-16",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A",
        "authorized_official_last_name": "MUNOZ VILCHES",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-630-4060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.