Active NPI
Myrna Marielly Muniz Ortega, MD
- Nephrology Physician
- Aguadilla, PR
National Provider Identifier
1750548715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 17129
- 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.
-
- Multi-Specialty Clinic/Center
- Aguada, PR
- NPI 1427207232
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110427000639 | PR | Practitioner - Internal Medicine | 4082899505 | Practice locations: Aguadilla, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17129 | PR | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Gineco-Obstetrico del Oeste Inc. | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17129 | PR | |
| Nephrology Physician | 207RN0300X | 17129 | PR | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.