Miriam M. Lara M.D. PA

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

ME0047182 Issued in FL

Legal business name

MIRIAM M. LARA M.D. PA

Practice address

2100 W 68TH St
Hialeah, FL 33016-1804

Phone

(305) 362-3969

Fax

(305) 362-7909

NPI assigned

Jan 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Miriam Mercedes Lara, M.D.NPI 1124124854

Title

M.D.

Phone

(305) 362-3969

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12801/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miriam Mercedes Lara

  • General Practice Physician
  • Hialeah, FL
  • NPI 1124124854

  FL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1124440227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161804",
            "telephone_number": "305-362-3969",
            "fax_number": "305-362-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161804",
            "telephone_number": "305-362-3969",
            "fax_number": "305-362-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM M. LARA M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "MERCEDES",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "305-362-3969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "ME0047182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035062100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenda Miranda
• Raul Miranda
• Yanila Miranda
• Yoima Miranda
• Charlotte Da Cruz Mirebeau
• Mirna L. Valencia, M.D., P.a.
• Yislet Barbara Miron
• Mis Amores Adult Care LLC
• Xiomara Misa del Toro
• Milena Misa Paez

• All providers in Hialeah, FL
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.