Provider Demographics
NPI:1861436461
Name:MUNOZ VILCHES, ERNESTO J (MD)
Entity type:Individual
Prefix:
First Name:ERNESTO
Middle Name:J
Last Name:MUNOZ VILCHES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 CALLE DE LA FIDELIDAD
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-1844
Mailing Address - Country:US
Mailing Address - Phone:787-630-4060
Mailing Address - Fax:787-721-8448
Practice Address - Street 1:29 CALLE WASHINGTON SUITE 208B
Practice Address - Street 2:ASHFORD MEDICAL CENTER
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1561
Practice Address - Country:US
Practice Address - Phone:787-721-4836
Practice Address - Fax:787-721-8448
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2024-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR11412207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0084307Medicare ID - Type Unspecified
PRG40947Medicare UPIN