MEDICARE: MUNOZ INTERNAL MEDICINE SERVICES C.S.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1619630613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUNOZ INTERNAL MEDICINE SERVICES C.S.P.

Provider Business Mailing Address
First Line	:	55 CALLE DE LA FIDELIDAD
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00725-1844
Country	:	US
Telephone Number	:	787-721-4836
Fax Number	:	787-721-8448

Provider Business Practice Location Address
First Line	:	29 CALLE WASHINGTON STE 208B
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00907-1561
Country	:	US
Telephone Number	:	787-721-4836
Fax Number	:	787-721-8448

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ERNESTO J MUNOZ VILCHES
Credential	:	MD
Telephone Number	:	787-630-4060

Provider Enumeration Date	:	10/16/2021
Last Update Date	:	05/25/2024

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