Individual provider Active NPI

Caritza Miranda, M.S.

  • Speech-Language Pathologist
  • Carolina, PR
National Provider Identifier
1174756100
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
832 Issued in PR
Practice address
F12 Calle Dulce Sueno
Ext. Parque Ecuestre
Carolina, PR 00987-8600
Phone
(787) 310-5424
NPI assigned
Aug 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 832 PR Primary

Addresses

Primary practice location

F12 Calle Dulce Sueno
Ext. Parque Ecuestre
Carolina, PR 00987-8600

Mailing address

F12 Calle Dulce Sueno
Ext. Parque Ecuestre
Carolina, PR 00987-8600
Phone (787) 310-5424

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
832PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1174756100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "F12 CALLE DULCE SUENO",
            "address_2": "EXT. PARQUE ECUESTRE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009878600",
            "telephone_number": "787-310-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "F12 CALLE DULCE SUENO",
            "address_2": "EXT. PARQUE ECUESTRE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009878600",
            "telephone_number": "787-310-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "CARITZA",
        "name_prefix": "Miss",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.