Jose Chiquinquira Munoz Villasmil, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

86047 Issued in SC

Practice address

2244 Ashley Crossing Dr Unit 1232
Charleston, SC 29414-6161

Phone

(832) 759-0253

Fax

(843) 792-9295

NPI assigned

May 28, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1851967095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE RM 202",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258905",
            "telephone_number": "843-792-2575",
            "fax_number": "843-792-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 ASHLEY CROSSING DR UNIT 1232",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146161",
            "telephone_number": "832-759-0253",
            "fax_number": "843-792-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ VILLASMIL",
        "first_name": "JOSE",
        "middle_name": "CHIQUINQUIRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "86047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reginald F. Munden, M.D., D.M.D.
• Daniel G Mundorff, MPT
• Christopher Cooper Munhall, MD
• Claire Diane Munhall, DNP, AGACNP-BC
• Megan Kopscik Munn, LPC
• Meenakshi Munshi, M.D.
• Ellen H. Munson, MPH, RDN, LDN, CLC
• Murco Eldercare, LLC
• Marquita S Murdaugh
• Rebecka Marie Murga, PT

• Family Medicine Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.

Verify at the official NPI Registry.