DR. WILLIAM JAVIER MUNOZ MIRANDA M.D./PH.D.
NPI 1063973774
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 26, 2019PECOS Enrolled
55 FRUIT ST # 5502, BOSTON, MA 02114(617) 726-5143 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. William Javier Munoz Miranda M.d./ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM JAVIER MUNOZ MIRANDA M.D./PH.D. (NPI 1063973774) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1063973774
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. WILLIAM JAVIER MUNOZ MIRANDACredential: M.D./PH.D.
Location Address55 FRUIT ST # 5502Boston, MA 02114-2696
Mailing Address55 Fruit St # 5502Boston, MA 02114-2696 · (617) 726-5143
Sole ProprietorNo
Enumeration DateMarch 26, 2019
NPI 1063973774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
55 FRUIT ST # 5502, Boston, MA 02114

Secondary Practice Location 1

Location 155 Fruit StBoston, MA 02114-2696 · Phone (617) 724-3261

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. William Javier Munoz Miranda M.d./ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Munoz Miranda's NPI number?

The NPI number for William Munoz Miranda is 1063973774. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is William Munoz Miranda located?

William Munoz Miranda practices at 55 Fruit St # 5502, Boston, MA 02114. The listed phone number is (617) 726-5143.

What is William Munoz Miranda's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is William Munoz Miranda enrolled in Medicare?

Yes. William Munoz Miranda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Munoz Miranda was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.