Individual provider Active NPI

Sayra Dejesus Munoz

  • General Practice Physician
  • Arecibo, PR
National Provider Identifier
1649445396
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17118 Issued in PR
Practice address
Urb. Las Brisas 123
Calle 3
Arecibo, PR 00612
Phone
(787) 479-7079
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17118 PR Primary

Addresses

Primary practice location

Urb. Las Brisas 123
Calle 3
Arecibo, PR 00612

Mailing address

Urb. Las Brisas 123
Calle 3
Arecibo, PR 00612
Phone (787) 479-7079

Other identifiers 1

IdentifierTypeStateIssuer
17118OtherPRMEDICAL LICENCE

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
I20101118000998 PR Practitioner - General Practice 4688860471 Reassigns benefits to 1 organization
Practice locations: Utuado, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17118PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Pavia Healthcare Center CurrentSince Aug 1, 2020 Accepting new patients
Metro Pavia Healthcare Centers Inc CurrentSince Aug 1, 2020 Accepting new patients
Metro Pavia Healthcare Centers Inc Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1649445396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LAS BRISAS 123",
            "address_2": "CALLE 3",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-479-7079",
            "fax_number": "787-817-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. LAS BRISAS 123",
            "address_2": "CALLE 3",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-479-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS MUNOZ",
        "first_name": "SAYRA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE",
            "identifier": "17118",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.