Jennifer Miranda, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME106748 Issued in FL

Practice address

4100 Salzedo St
Ste 4
Coral Gables, FL 33146-1751

Phone

(786) 227-6811

Fax

(786) 732-2377

NPI assigned

Jan 14, 2009

Last updated

Aug 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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.

Opted out of Medicare

Yes, effective Oct 1, 2013 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Pure Executive Health & Wellness, LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1932540036
  Authorized official Same address or phone

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1063659837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SALZEDO ST",
            "address_2": "STE 4",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461751",
            "telephone_number": "786-227-6811",
            "fax_number": "786-732-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SALZEDO ST",
            "address_2": "STE 4",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461751",
            "telephone_number": "786-227-6811",
            "fax_number": "786-732-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME106748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mint Center LLC (Mint Wellness Center)
• Yadira Mir, PSY.D
• Alejandra Miranda, DDS
• Darla Briana Miranda
• Idelvis Miranda
• Luis F. Miranda, MD
• Marlene Miranda, ARNP
• Maria Miraz, M.D.
• Miriam Mendivil OD, PA
• Claudio L Miro, D.D.S.

• Internal Medicine Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.