Active NPI
Alvaro Jose Coronado Munoz, M.D.
- Pediatric Critical Care Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 325676-01
- Practice address
- 111 E 210TH St
Bronx, NY 10467-2401 - Phone
- (187) 412-4877
- NPI assigned
- Oct 5, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | R3655 | TX | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 325676-01 | NY | Primary |
Addresses
Primary practice location
111 E 210TH St
Bronx, NY 10467-2401
Mailing address
46 Beechwood Rd
Hartsdale, NY 10530-1662
Phone (347) 586-2872
Other practice location 1
6411 Fannin St
Houston, TX 77030-1501
Phone (347) 586-2872
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373821301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 325676-01 | NY | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Current | Accepting new patients | |
| Nuvance Health Medical Practice PC | Current | Accepting new patients | |
| Ut Physicians | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients | |
| Vassar Brothers Hospital | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
1515 Holcombe Blvd
#M
Houston, TX 77030
Phone (713) 792-6127
6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- acoronadom@montefioredirect.com
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
-
- Anesthesiology Physician
- Houston, TX
- NPI 1033157821
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Health Educator
- Houston, TX
- NPI 1316534472
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1710261037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 BEECHWOOD RD",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105301662",
"telephone_number": "347-586-2872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401",
"telephone_number": "187-412-4877"
}
],
"practiceLocations": [
{
"address_1": "6411 Fannin St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770301501",
"country_code": "US",
"telephone_number": "347-586-2872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORONADO MUNOZ",
"first_name": "ALVARO",
"middle_name": "JOSE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-05",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TX",
"license": "R3655",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NY",
"license": "325676-01",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373821301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.