Active NPI
Mayra M. Miro, PSY.D.
- Clinical Psychologist
- Miami, FL
National Provider Identifier
1093890527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 7369
- Practice address
- 11401 SW 40TH St
Suite 207
Miami, FL 33165-3372 - Phone
- (305) 807-9119
- Fax
- (305) 445-9045
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY 7369 | FL | Primary |
Addresses
Primary practice location
11401 SW 40TH St
Suite 207
Miami, FL 33165-3372
Mailing address
20 Sidonia Ave
Apt. 3
Coral Gables, FL 33134-3438
Phone (305) 807-9119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 7369 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1093890527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 SIDONIA AVE",
"address_2": "APT. 3",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331343438",
"telephone_number": "305-807-9119",
"fax_number": "305-445-9045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11401 SW 40TH ST",
"address_2": "SUITE 207",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653372",
"telephone_number": "305-807-9119",
"fax_number": "305-445-9045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRO",
"first_name": "MAYRA",
"middle_name": "M.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 7369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.