Active NPI
Carmen Miranda
- Addiction (Substance Use Disorder) Counselor
- San Juan, PR
National Provider Identifier
1134519010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 5633
- Practice address
- RR 2 Box 11
San Juan, PR 00926-9767 - Phone
- (787) 625-2900
- Fax
- (787) 760-2944
- NPI assigned
- Jan 29, 2015
- Last updated
- Jan 29, 2015
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5633 | PR | Primary |
Addresses
Primary practice location
RR 2 Box 11
San Juan, PR 00926-9767
Mailing address
12 Calle Cascada
Guaynabo, PR 00969-3610
Phone (787) 625-2900
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5633 | PR | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1134519010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CALLE CASCADA",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009693610",
"telephone_number": "787-625-2900",
"fax_number": "787-760-2944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 2 BOX 11",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009269767",
"telephone_number": "787-625-2900",
"fax_number": "787-760-2944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "CARMEN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-29",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PR",
"license": "5633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.