Miranda Kay Berger Nordelo

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

58-3 Calle 50
Urb Sierra Bayamon
Bayamon, PR 00961

Phone

(787) 981-7695

NPI assigned

Apr 5, 2020

Last updated

Apr 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586044800000",
    "number": "1003445750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58-3 CALLE 50",
            "address_2": "URB SIERRA BAYAMON",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58-3 CALLE 50",
            "address_2": "URB SIERRA BAYAMON",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-981-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER NORDELO",
        "first_name": "MIRANDA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-05",
        "last_updated": "2020-04-05",
        "certification_date": "2020-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lourdes T Benitez Concepcion, M.D.
• Fernando Benitez Muniz, OD
• Benitez Optical Services Inc
• Nomaris Benitez-Pagan, CPHT
• Antonio L. Berdecia-Alvarez, PSY.D.
• Francisco Berges, PSYD
• Jose A. Bermudez Segarra, M.D.
• Ariel Eduardo Bermudez, MD
• Omariliz Bermudez, PT
• Yanira Bermudez, PHARM. D.

• Student in an Organized Health Care Education/Training Program in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Student in an Organized Health Care Education/Training Program in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.