Individual provider Active NPI

Roberto Munoz-Marin, M.D.

  • Specialist
  • Santurce, PR
National Provider Identifier
1639155252
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5829 Issued in PR
Practice address
1446 Calle Americo Salas
Santurce, PR 00909-2138
Phone
(787) 722-7403
Fax
(787) 726-4196
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5829 PR Primary

Addresses

Primary practice location

1446 Calle Americo Salas
Santurce, PR 00909-2138

Mailing address

1446 Calle Americo Salas
Santurce, PR 00909-2138
Phone (787) 722-7403

Other identifiers 10

IdentifierTypeStateIssuer
65657OtherPRCRUZ AZUL - CONSULTORIO
N596OtherPRFIRST MEDICAL
SE3393OtherPRPALIC
97384MUOtherPRTRIPLE S
455829OtherPRU.I.A.
220262OtherPRPREFERRED HEALTH PLAN
600063OtherPRMEDICARE Y MUCHO MAS
66961OtherPRCRUZ AZUL-LABORATORIO
8000429OtherPRHUMANA HEALTH PLAN
2883OtherPRPREFERRED MEDICARE CHOICE

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
I20070726000538 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1850492455 Practice locations: Santurce, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1446 Calle Americo Salas
Santurce, PR 00909-2138
Phone (787) 722-7403

Americo Salas
Suite 1446
Santurce, PR 00909-2138

Hospital & facility affiliations

  • Hospital Pavia Santurce Hospital, San Juan, PR, CCN 400019

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5829PRMDSpecialist

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1639155252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 CALLE AMERICO SALAS",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009092138",
            "telephone_number": "787-722-7403",
            "fax_number": "787-726-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 CALLE AMERICO SALAS",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009092138",
            "telephone_number": "787-722-7403",
            "fax_number": "787-726-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ-MARIN",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "5829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL - CONSULTORIO",
            "identifier": "65657",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "N596",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "SE3393",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "97384MU",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.I.A.",
            "identifier": "455829",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH PLAN",
            "identifier": "220262",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "600063",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL-LABORATORIO",
            "identifier": "66961",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PLAN",
            "identifier": "8000429",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "2883",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

Verify at the official NPI Registry.