Manuel Antonio Miranda

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

E75 Villa Oriente
Humacao, PR 00791-3444

Phone

(787) 556-0709

NPI assigned

Jan 28, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Moraima Martinez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Safety Medical Corp.

  • Specialist
  • Humacao, PR
  • NPI 1609194422
  NPD (past) Authorized official

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1144551227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E75 VILLA ORIENTE",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913444",
            "telephone_number": "787-556-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E75 VILLA ORIENTE",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913444",
            "telephone_number": "787-556-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "MANUEL",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "1802671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORAIMA",
            "last_name": "MARTINEZ",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gamalier Mestre, MD
• Mi Doc Medical Institute LLC
• Sharon Millan- Aponte, M.D.
• Dorian Julissa Mills Febo, OTL
• Graciany Miranda, MD.
• MM Health Services LLC. - Hope
• Lizandra M Moctezuma Rodriguez, MD
• Molecula1 LLC
• Marla Y. Molinary-Ruiz, M.D.
• Noel Molini, DMD

• Specialist in Humacao, PR
• Providers in Humacao, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.