Individual provider Active NPI

Audrey Muriel, MD

  • General Practice Physician
  • Trujillo Alto, PR
National Provider Identifier
1942571245
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18370 Issued in PR
Practice address
RK- 19 Via Cristal Encantada
Trujillo Alto, PR 00976
Phone
(787) 420-3023
NPI assigned
Jan 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18370 PR Primary

Addresses

Primary practice location

RK- 19 Via Cristal Encantada
Trujillo Alto, PR 00976

Mailing address

Via Cristal
RK-19 Encantada
Trujillo Alto, PR 00976
Phone (787) 420-3023

Other identifiers 1

IdentifierTypeStateIssuer
18370OtherPRLICENCIA DE P.R

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
I20150723008855 PR Practitioner - General Practice 1658684311 Reassigns benefits to 1 organization
Practice locations: Caguas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18370PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Menonita de Cayey General Practice CurrentSince Jul 17, 2019 Accepting new patients
Hospital Menonita de Cayey CurrentSince Jul 17, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1942571245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VIA CRISTAL",
            "address_2": "RK-19 ENCANTADA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-420-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RK- 19 VIA CRISTAL ENCANTADA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-420-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURIEL",
        "first_name": "AUDREY",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA DE P.R",
            "identifier": "18370",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

Verify at the official NPI Registry.