Individual provider Active NPI

Angel L Munoz

  • Pastoral Counselor
  • Tampa, FL
National Provider Identifier
1669119053
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Practice address
4104 E Okara Rd
Tampa, FL 33617-4447
Phone
(787) 531-9944
NPI assigned
May 17, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Developmental Therapist 222Q00000X
Pastoral Counselor 101YP1600X Primary

Addresses

Primary practice location

4104 E Okara Rd
Tampa, FL 33617-4447

Mailing address

PO Box 366347
San Juan, PR 00936-6347
Phone (787) 303-4727

Other practice location 1

1482 FD Roosevelt Ave
Tower 3 Apt 601
San Juan, PR 00920
Phone (787) 531-9944

Other identifiers 1

IdentifierTypeStateIssuer
1162357OtherPRCOUNSELOR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.prlea.com

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

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1669119053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366347",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009366347",
            "telephone_number": "787-303-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 E OKARA RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336174447",
            "telephone_number": "787-531-9944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1482 FD Roosevelt Ave",
            "address_2": "Tower 3 Apt 601",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00920",
            "country_code": "US",
            "telephone_number": "787-531-9944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "ANGEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR",
            "identifier": "1162357",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.prlea.com",
            "affiliation": "N",
            "endpointDescription": "Office",
            "address_1": "1482 FD Roosevelt Ave",
            "address_2": "Tower 3 Apt 601",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.