Active NPI
William Miranda, M.D.
- Pediatrics Physician
- Bayamon, PR
National Provider Identifier
1124168273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 3913
- Practice address
- Torre San Pablo Suite 605
Bayamon, PR 00961 - Phone
- (787) 787-0753
- Fax
- (787) 798-5900
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 3913 | PR | Primary |
Addresses
Primary practice location
Torre San Pablo Suite 605
Bayamon, PR 00961
Mailing address
PO Box 1759
Bayamon, PR 00960-1759
Phone (787) 787-0753
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3913 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398384000000",
"number": "1124168273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1759",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009601759",
"telephone_number": "787-787-0753",
"fax_number": "787-798-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TORRE SAN PABLO SUITE 605",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-787-0753",
"fax_number": "787-798-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2014-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "3913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.