Healthcare Provider Details

I. General information

NPI: 1184367385
Provider Name (Legal Business Name): MIGUEL ARMANDO ALMEIDA MUNOZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2022
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date: 02/21/2023
Reactivation Date: 03/01/2023

III. Provider practice location address

75 FRANCIS ST
BOSTON MA
02115-6110
US

IV. Provider business mailing address

75 FRANCIS ST
BOSTON MA
02115-6110
US

V. Phone/Fax

Practice location:
  • Phone: 617-732-5500
  • Fax:
Mailing address:
  • Phone: 617-732-6306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number1025579
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: