Individual provider Active NPI

Hannah Marie Mirasol Muniz Castro, MD

  • Cornea and External Diseases Specialist Physician
  • La Quinta, CA
National Provider Identifier
1932632742
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
A186124 Issued in CA
Practice address
47474 Washington St
La Quinta, CA 92253-8846
Phone
(760) 469-5213
NPI assigned
Apr 7, 2017
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X A186124 CA
Ophthalmology Physician 207W00000X ME149163 FL
Cornea and External Diseases Specialist Physician 207WX0120X T5401 TX
Cornea and External Diseases Specialist Physician 207WX0120X A186124 CA Primary

Addresses

Primary practice location

47474 Washington St
La Quinta, CA 92253-8846

Mailing address

47474 Washington St
La Quinta, CA 92253-8846
Phone (760) 469-5213

Other practice location 1

6400 Fannin St Fl 18
Houston, TX 77030-1521
Phone (713) 559-5200

Other practice location 2

900 NW 17th St
Miami, FL 33136-1134
Phone (305) 243-2020

Other practice location 3

44139 Monterey Ave Ste A
Palm Desert, CA 92260-8700
Phone (760) 469-5195

Other practice location 4

1801 E Tahquitz Canyon Way Ste 200
Palm Springs, CA 92262-7123
Phone (800) 898-2020

Other practice location 5

11234 Anderson St
Loma Linda, CA 92354-2804
Phone (909) 558-4074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220705000374 TX Practitioner - Ophthalmology 0840694477
I20230524001896 CA Practitioner - Ophthalmology 0840694477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Irvine, California College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coachella Valley Eye Institute PCGroup PAC ID 2264914159, 5 clinicians

Practice addresses (Care Compare)

72780 Country Club Dr
Suite 104
Rancho Mirage, CA 92270-4150
Phone (510) 647-6567

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME149163FLMDOphthalmology Physician
A186124CAMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance ASC, LLC Past Accepting new patients
University Eye Associates Ophthalmology PastSince Apr 1, 2023 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1932632742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47474 WASHINGTON ST",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538846",
            "telephone_number": "760-469-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47474 WASHINGTON ST",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538846",
            "telephone_number": "760-469-5213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6400 Fannin St Fl 18",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301521",
            "country_code": "US",
            "telephone_number": "713-559-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 NW 17th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361134",
            "country_code": "US",
            "telephone_number": "305-243-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44139 Monterey Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922608700",
            "country_code": "US",
            "telephone_number": "760-469-5195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 E Tahquitz Canyon Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922627123",
            "country_code": "US",
            "telephone_number": "800-898-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11234 Anderson St",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923542804",
            "country_code": "US",
            "telephone_number": "909-558-4074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNIZ CASTRO",
        "first_name": "HANNAH MARIE",
        "middle_name": "MIRASOL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A186124",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME149163",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "TX",
            "license": "T5401",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "CA",
            "license": "A186124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

Verify at the official NPI Registry.