Active NPI
Juan Manuel Munoz Moreno, M.D.
- Student in an Organized Health Care Education/Training Program
- Norfolk, VA
National Provider Identifier
1629866991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 825 Fairfax Avenue
Norfolk, VA 23507 - Phone
- (757) 446-8920
- NPI assigned
- Apr 28, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
825 Fairfax Avenue
Norfolk, VA 23507
Mailing address
Macon & Joan Brock VHS at Old Dominion University -Evms
P.O. Box 1980, Graduate Medical Education
Norfolk, VA 23501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251030002398 | VA | Order and Referring Only - Internal Medicine | 3476042342 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1629866991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MACON & JOAN BROCK VHS AT OLD DOMINION UNIVERSITY -EVMS",
"address_2": "P.O. BOX 1980, GRADUATE MEDICAL EDUCATION",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 FAIRFAX AVENUE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23507",
"telephone_number": "757-446-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ MORENO",
"first_name": "JUAN",
"middle_name": "MANUEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-04-28",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.