Organization Active NPI

Miracle Medical Center Corp

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1144966680
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Apr 30, 2025

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
13077OtherFLAHCA

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.