MEDICARE: ERNESTO J MUNOZ VILCHES MD

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	11412	PR

General Provider Information

NPI Number	:	1861436461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERNESTO J MUNOZ VILCHES MD

Provider Business Mailing Address
First Line	:	55 CALLE DE LA FIDELIDAD
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00725-1844
Country	:	US
Telephone Number	:	787-630-4060
Fax Number	:	787-721-8448

Provider Business Practice Location Address
First Line	:	29 CALLE WASHINGTON SUITE 208B
Second Line	:	ASHFORD MEDICAL CENTER
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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	05/25/2024

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