Individual provider Active NPI

Marie Ivelina Muntaner Rodriguez, M.D.

  • General Acute Care Hospital
  • Ceiba, PR
National Provider Identifier
1851697296
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
16532 Issued in PR
Practice address
205 Ave Lauro Pinero
Ceiba, PR 00735-2701
Phone
(787) 710-0286
NPI assigned
Feb 2, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 4

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 Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

205 Ave Lauro Pinero
Ceiba, PR 00735-2701
Phone (787) 885-4446

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
I20111214000494 PR Practitioner - Internal Medicine 7517132830 Reassigns benefits to 2 organizations
Practice locations: Ceiba, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16532PRMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Preventive Medical Care Services, PSC CurrentSince Sep 21, 2012 Accepting new patients
Costa Este Medical Services LLC CurrentSince May 1, 2019 Accepting new patients
East Coast Medical Services Inc Past Accepting new patients

Locations

205 Ave Lauro Pinero
Ceiba, PR 00735
Phone (787) 221-5000

F4 Calle Principal
Fajardo, PR 00738
Phone (787) 224-9971

Interoperability endpoints

  • Direct secure messaging: marie.muntanerrodriguez.p1@direct.vitacare.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 16532 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

205 Ave Lauro Pinero
Ceiba, PR 00735-2701

Mailing address

205 Ave Lauro Pinero
Ceiba, PR 00735-2701
Phone (787) 710-0286

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2011.

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1851697296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 AVE LAURO PINERO",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "007352701",
            "telephone_number": "787-710-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 AVE LAURO PINERO",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "007352701",
            "telephone_number": "787-710-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNTANER RODRIGUEZ",
        "first_name": "MARIE",
        "middle_name": "IVELINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PR",
            "license": "16532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceiba, PR

Sources for this page

Verify at the official NPI Registry.