Active NPI
Carlos Juan Vera Muniz, MD
- Family Medicine Physician
- San Juan, PR
National Provider Identifier
1679749774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11841
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11841 | PR | MD | Family 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.