Individual provider Active NPI

Myrna Marielly Muniz Ortega, MD

  • Nephrology Physician
  • Aguadilla, PR
National Provider Identifier
1750548715
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
17129 Issued in PR
Practice address
Av Severiano Cuevas Bo Caimital Bajo
Aguadilla, PR 00603
Phone
(787) 616-2155
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ave Severiano Cuevas
18 Bo Caimital Bajo Hosp Buen Samaritano
Aguadilla, PR 00603-9026
Phone (787) 399-8068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110427000639 PR Practitioner - Internal MedicinePractitioner - Nephrology 4082899505 Practice locations: Aguadilla, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17129PRMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Gineco-Obstetrico del Oeste Inc. Past Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17129 PR
Nephrology Physician 207RN0300X 17129 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

Av Severiano Cuevas Bo Caimital Bajo
Aguadilla, PR 00603

Mailing address

Av Severiano Cuevas # 18 Bo Caimital Bajo
Aguadilla, PR 00603
Phone (787) 997-0101

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 5, 2013.

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1750548715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AV SEVERIANO CUEVAS # 18 BO CAIMITAL BAJO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-997-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AV SEVERIANO CUEVAS BO CAIMITAL BAJO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-616-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIZ ORTEGA",
        "first_name": "MYRNA",
        "middle_name": "MARIELLY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "17129",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "17129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.