Anisha Miranda, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16454 Issued in PR

Practice address

12TH St W-9 Alturas de Flamboyan
Bayamon, PR 00959

Phone

(787) 787-3659

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrate Community Health System

  dba Metro Pavia Clinic Humacao

  • Community Health Clinic/Center
  • Humacao, PR
  • NPI 1467674713
  Medicare reassignment NPD
• Integrate Community Health System

  dba Metro Pavia Clinic Caguas

  • Internal Medicine Physician
  • Caguas, PR
  • NPI 1780806174

  General Practice

  NPD
• Integrate Community Health System, Inc.

  dba Metro Pavia Clinic Aguadilla - Lab

  • Clinical Medical Laboratory
  • Aguadilla, PR
  • NPI 1821502519
  NPD
• Centro de Servicios Medicos Inc

  • Clinical Medical Laboratory
  • Toa Baja, PR
  • NPI 1104961903
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194824037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12TH ST W-9 ALTURAS DE FLAMBOYAN",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-787-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12TH ST W-9 ALTURAS DE FLAMBOYAN",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-787-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "ANISHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Angel Miranda Barreto, MS
• Daniel Miranda Fonseca, MSW
• Anselmo Miranda Martir, M.D.
• Carolina Miranda Torres, MD
• Mario Cesar Miranda Torres, M.D.
• Briseida Miranda, MT
• Camila D Miranda
• Carlos J. Miranda, M.D.
• Diana Miranda, BSN
• Glorimar Miranda, PH.D.

• General Practice Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.