Physician Compare National (NPI:1306089693)

HEALTHCARE PROVIDER: DR. JOSE ANTONIO MUNOZ

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1306089693
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658594676
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190307003302
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MUNOZ
	Individual professional last name
Provider First Name	JOSE
	Individual professional first name
Provider Middle Name	ANTONIO
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	RUTGERS NEW JERSEY MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	21355 E DIXIE HWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 109
	Group Practice or individual's line 2 address
City	AVENTURA
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	331801239
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y