Myrna C Monreal, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME37811 Issued in FL

Practice address

111 N 11TH St
Haines City, FL 33844-4325

Phone

(863) 421-3204

Fax

(863) 421-3210

NPI assigned

Oct 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Myrna Romulo Crisostomo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• University Medical Service Association Inc

  • Neurological Surgery Physician
  • Tampa, FL
  • NPI 1740227966
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1962490037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 GOLFVIEW AVENUE",
            "address_2": "4TH FLOOR ATTN BILLING DEPARTMENT",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338306740",
            "telephone_number": "863-519-7900",
            "fax_number": "863-519-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N 11TH ST",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338444325",
            "telephone_number": "863-421-3204",
            "fax_number": "863-421-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONREAL",
        "first_name": "MYRNA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME37811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067027800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRNA",
            "last_name": "CRISOSTOMO",
            "middle_name": "ROMULO",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jorge Miranda Rodriguez, PHARMD
• Jacob Mittelstaedt, OD
• Jovita Moise-Brown
• Jemima Moise
• Edline Monestime
• Nicholas A Montes, PHARMD
• William A Moon, DDS
• Alyssa Nicole Moore
• Charlyn Ann Moore, LMHC, NCC
• Rosmery Morales Rodriguez

• Obstetrics & Gynecology Physician in Haines City, FL
• Providers in Haines City, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.