Individual provider Active NPI

Karina Eledys Miranda Ortiz

  • Clinical Social Worker
  • Orocovis, PR
National Provider Identifier
1154188142
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15564 Issued in PR
Practice address
Carr 143 KM 36.2 Int
Bo Bauta Abajo Sector la Francia
Orocovis, PR 00720-9261
Phone
(787) 516-6083
NPI assigned
Mar 5, 2024
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15564 PR Primary

Addresses

Primary practice location

Carr 143 KM 36.2 Int
Bo Bauta Abajo Sector la Francia
Orocovis, PR 00720-9261

Mailing address

HC 1 Box 5972
Orocovis, PR 00720-9261
Phone (787) 516-6083

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

LicenseStateTypeSpecialty
15564PRMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1154188142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 5972",
            "city": "OROCOVIS",
            "state": "PR",
            "postal_code": "007209261",
            "telephone_number": "787-516-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 143 KM 36.2 INT",
            "address_2": "BO BAUTA ABAJO SECTOR LA FRANCIA",
            "city": "OROCOVIS",
            "state": "PR",
            "postal_code": "007209261",
            "telephone_number": "787-516-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA ORTIZ",
        "first_name": "KARINA",
        "middle_name": "ELEDYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "15564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orocovis, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.