Individual provider Active NPI

Carlos Juan Vera Muniz, MD

  • Family Medicine Physician
  • San Juan, PR
National Provider Identifier
1679749774
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11841 Issued in PR
Practice address
658 Calle Miramar
No 1602
San Juan, PR 00907-3450
Phone
(787) 724-1630
NPI assigned
May 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11841 PR Primary

Addresses

Primary practice location

658 Calle Miramar
No 1602
San Juan, PR 00907-3450

Mailing address

658 Calle Miramar
No. 1602
San Juan, PR 00907-3450
Phone (787) 724-1630

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11841PRMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1679749774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 CALLE MIRAMAR",
            "address_2": "NO. 1602",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073450",
            "telephone_number": "787-724-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 CALLE MIRAMAR",
            "address_2": "NO 1602",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073450",
            "telephone_number": "787-724-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA MUNIZ",
        "first_name": "CARLOS",
        "middle_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "11841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.