Individual provider Active NPI

Katiana Miranda Flores

  • Clinical Social Worker
  • Caguas, PR
National Provider Identifier
1033079082
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17185 Issued in PR
Practice address
D12 Calle Mis Amores
Caguas, PR 00725-5821
Phone
(787) 390-3144
NPI assigned
Nov 13, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 17185 PR Primary

Addresses

Primary practice location

D12 Calle Mis Amores
Caguas, PR 00725-5821

Mailing address

D12 Calle Mis Amores
Caguas, PR 00725-5821
Phone (787) 390-3144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251203004114 PR Practitioner - Clinical Social Worker 9739672122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

D12 Calle Mis Amores
Caguas, PR 00725

Parcela Vieja Hosto
Suite 86
Aguirre, PR 00704-2312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17185PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Psicologico Ilo SE LLC Single Specialty CurrentSince Nov 18, 2025 Accepting new patients
Centro Psicologico Ilo, Inc. Clinical CurrentSince Nov 11, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1033079082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "D12 CALLE MIS AMORES",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255821",
            "telephone_number": "787-390-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D12 CALLE MIS AMORES",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255821",
            "telephone_number": "787-390-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA FLORES",
        "first_name": "KATIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "17185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.