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Leopoldo M Muniz

Family Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as LEOPOLDO MUNIZ.

Based on the most recent information from CMS, provider Leopoldo M Muniz is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1003810037
Provider Type
Individual
Full Name
Muniz, Leopoldo M
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/8/2005
Last Updated
5/23/2024

Contact Information

Practice Location

131 Rinehart Way, Aiken, SC 29803-1703

(803) 335-2200

(803) 649-7966

Mailing Location

PO Box 2510, Evans, GA 30809-2510

(706) 922-8251

(706) 922-6695

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 21000 South Carolina
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 75085 Georgia

Provider Identifiers

ID	Description	Issuer
ID 21000	Description Other	Issuer LICENSE South Carolina
ID 210007	Description Medicaid	Issuer Unlisted South Carolina

Leopoldo M Muniz

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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Schwartz, Alan Christopher

Zimmerman, David Wayne