Active NPI
Yobanka E Paez-Munoz, M.D.
- General Practice Physician
- Sanford, FL
National Provider Identifier
1669772935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME108067
- Practice address
- 1149 Rinehart Rd Ste 110
Sanford, FL 32771-7390 - Phone
- (407) 915-6150
- Fax
- (407) 915-6155
- NPI assigned
- Nov 2, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME 108067 | FL | |
| General Practice Physician | 208D00000X | ME108067 | FL | Primary |
Addresses
Primary practice location
1149 Rinehart Rd Ste 110
Sanford, FL 32771-7390
Mailing address
10140 Centurion Pkwy N
Jacksonville, FL 32256-0532
Phone (904) 697-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003657000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20160414000922 | FL | Order and Referring Only - Pediatric Medicine | 6002114659 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 108067 | FL | MD | Pediatrics Physician |
| ME108067 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Past | Accepting new patients | |
| Children's Health Alliance, LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- ypaezmunoz77128@direct.nemours.org
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Orlando, FL
- NPI 1366709321
-
- Multi-Specialty Clinic/Center
- Wilmington, DE
- NPI 1366594699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1669772935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10140 CENTURION PKWY N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560532",
"telephone_number": "904-697-4100",
"fax_number": "904-697-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 RINEHART RD STE 110",
"city": "SANFORD",
"state": "FL",
"postal_code": "327717390",
"telephone_number": "407-915-6150",
"fax_number": "407-915-6155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAEZ-MUNOZ",
"first_name": "YOBANKA",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-02",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 108067",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME108067",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003657000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.