Individual provider Active NPI

Maireen Muniz, M.S.PHL

  • Speech-Language Pathologist
  • Ponce, PR
National Provider Identifier
1689729428
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
569 Issued in PR
Practice address
#1731 Paseo Las Colonias
Urb. Cosntancia
Ponce, PR 00717-2237
Phone
(787) 647-1725
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 569 PR Primary

Addresses

Primary practice location

#1731 Paseo Las Colonias
Urb. Cosntancia
Ponce, PR 00717-2237

Mailing address

#138 Calle Miguel Rivera Texidor
Estancias del Golf Club
Ponce, PR 00730-0545
Phone (787) 259-3602

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

State licenses

LicenseStateTypeSpecialty
569PRMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689729428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#138 CALLE MIGUEL RIVERA TEXIDOR",
            "address_2": "ESTANCIAS DEL GOLF CLUB",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007300545",
            "telephone_number": "787-259-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#1731 PASEO LAS COLONIAS",
            "address_2": "URB. COSNTANCIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172237",
            "telephone_number": "787-647-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIZ",
        "first_name": "MAIREEN",
        "credential": "M.S.PHL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.