Active NPI
Miracle Medical Center Corp
- Psychiatry Physician
- Miami, FL
National Provider Identifier
1144966680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MIRACLE MEDICAL CENTER CORP
- Practice address
- 15668 SW 72ND St
Miami, FL 33193-1923 - Phone
- (786) 697-1150
- NPI assigned
- May 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Brisaida Duarte
- Title
- Ceo
- Phone
- (786) 315-6818
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
15668 SW 72ND St
Miami, FL 33193-1923
Mailing address
15668 SW 72ND St
Miami, FL 33193-1923
Phone (786) 697-1150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13077 | Other | FL | AHCA |
National Provider Directory
National Provider DirectoryLocations
15668 SW 72nd St
Miami, FL 33193
Phone (305) 386-0323
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Homestead, FL
- NPI 1598347759
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745971200000",
"number": "1144966680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15668 SW 72ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331931923",
"telephone_number": "786-697-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15668 SW 72ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331931923",
"telephone_number": "786-697-1150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIRACLE MEDICAL CENTER CORP",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-09",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A",
"authorized_official_last_name": "DUARTE",
"authorized_official_first_name": "BRISAIDA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "786-315-6818",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "13077",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Miracle Community Behavioral Center Corp
- Miracle Ear
- Miracle Group Rehabilitation Center Inc
- Miracle Health Services Inc
- Miracle Leaf Corp
- Miracle Medical Equipment & Supplies, Inc.
- Miracle Medical Supplies Inc
- Miracle Medical Supplies Inc
- Miracle Mile Community Mental Health Center, Inc.
- Miracle Pharmacy & Discount Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.