Individual provider Active NPI

Betty Gil-Munoz, M.D.

  • Radiation Oncology Physician
  • San Juan, PR
National Provider Identifier
1972587293
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
10452 Issued in PR
Practice address
1785 Carr 21
Suite 95
San Juan, PR 00921-3399
Phone
(787) 774-5555
Fax
(787) 774-5767
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 10452 PR Primary

Addresses

Primary practice location

1785 Carr 21
Suite 95
San Juan, PR 00921-3399

Mailing address

PO Box 191625
San Juan, PR 00919-1625
Phone (787) 774-5555

Other identifiers 1

IdentifierTypeStateIssuer
85063OtherPRPROVIDER NUMBER, OFFICE AT AGUADILLA, PR

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
I20051025001053 PR Practitioner - Radiation Oncology 0244228906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metrohealth Radiation Oncology Group, Inc.Group PAC ID 6507854254, 4 clinicians

Practice addresses (Care Compare)

1785 Carr
Suite 21
San Juan, PR 00921-3399
Phone (787) 774-5555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10452PRMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metrohealth Radiation Oncology Group, Inc. CurrentSince Aug 31, 2000 Accepting new patients
Metrohealth Radiation Oncology Group, Inc. CurrentSince Aug 31, 2000 Accepting new patients
Metrohealth Radiation Oncology Group, Inc. Radiation Oncology Current Accepting new patients
Metrohealth Radiation Oncology Group, Inc. Past Accepting new patients
Centro Baquiterapia Avanzada Radiation Oncology Past Accepting new patients

Locations

1785 Carr 21
Ste 95
San Juan, PR 00921
Phone (787) 621-5555

1785 Carr 21
San Juan, PR 00921
Phone (787) 706-0981

Interoperability endpoints

  • Direct secure messaging: bgil@rtcionline.direct.varian.com

Organizations & group practices 5

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1972587293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191625",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191625",
            "telephone_number": "787-774-5555",
            "fax_number": "787-774-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 CARR 21",
            "address_2": "SUITE 95",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213399",
            "telephone_number": "787-774-5555",
            "fax_number": "787-774-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIL-MUNOZ",
        "first_name": "BETTY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PR",
            "license": "10452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER, OFFICE AT AGUADILLA, PR",
            "identifier": "85063",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.