Jose Angel Miranda Barreto, MS

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Chalets de Bayamon
50 Dr Rodriguez
Bayamon, PR 00952

Phone

(617) 290-0816

NPI assigned

Jul 11, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1184110314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 322",
            "city": "LOIZA",
            "state": "PR",
            "postal_code": "007720322",
            "telephone_number": "617-290-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHALETS DE BAYAMON",
            "address_2": "50 DR RODRIGUEZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00952",
            "telephone_number": "617-290-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA BARRETO",
        "first_name": "JOSE",
        "middle_name": "ANGEL",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE NUMBER",
            "identifier": "S62758135",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milorl LLC
• Milorl LLC
• Mind & Heart Psychology LLC
• Mindspeak Psychological Group LLC
• Krystal Miranda Aponte, MD
• Daniel Miranda Fonseca, MSW
• Anselmo Miranda Martir, M.D.
• Carolina Miranda Torres, MD
• Mario Cesar Miranda Torres, M.D.
• Anisha Miranda, MD

• Student in an Organized Health Care Education/Training Program in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Student in an Organized Health Care Education/Training Program in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.