Active NPI
Mildred Ivelisse Munoz, OT
- Occupational Therapist
- Aguada, PR
National Provider Identifier
1639501216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 671
- Practice address
- Calle Colon Numero 99 Int
Aguada, PR 00602 - Phone
- (787) 645-9481
- Fax
- (787) 868-3611
- NPI assigned
- Aug 6, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 671 | PR | Primary |
Addresses
Primary practice location
Calle Colon Numero 99 Int
Aguada, PR 00602
Mailing address
PO Box 1284
Aguada, PR 00602-1284
Phone (787) 645-9481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 671 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1639501216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1284",
"city": "AGUADA",
"state": "PR",
"postal_code": "006021284",
"telephone_number": "787-645-9481",
"fax_number": "787-868-3611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE COLON NUMERO 99 INT",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "787-645-9481",
"fax_number": "787-868-3611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ",
"first_name": "MILDRED",
"middle_name": "IVELISSE",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-06",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PR",
"license": "671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aguada, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.