Active NPI
Jorge Enrique Miranda, MD, FACOG
- Gynecology Physician
- McAllen, TX
National Provider Identifier
1205989613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- J2458
- Practice address
- 3001 N 23Rd St Ste 1
McAllen, TX 78501-6179 - Phone
- (956) 581-2168
- Fax
- (956) 581-2169
- NPI assigned
- Jan 19, 2007
- Last updated
- May 26, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | J2458 | TX | Primary |
Addresses
Primary practice location
3001 N 23Rd St Ste 1
McAllen, TX 78501-6179
Mailing address
5208 N 10TH St # 4016
McAllen, TX 78504-2701
Phone (956) 581-2168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098923803 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230711001435 | TX | Order and Referring Only - Obstetrics/Gynecology | 4688640717 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Rios Womens Health, PA | Past | Accepting new patients |
Interoperability endpoints
- jorge.miranda@jemm-tx.direct.office.nextgen.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Men Clinic
- Obstetrics Physician
- McAllen, TX
- NPI 1760465173
-
- Obstetrics & Gynecology Physician
- McAllen, TX
- NPI 1427479906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685059200000",
"number": "1205989613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5208 N 10TH ST # 4016",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785042701",
"telephone_number": "956-581-2168",
"fax_number": "956-581-2169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 N 23RD ST STE 1",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785016179",
"telephone_number": "956-581-2168",
"fax_number": "956-581-2169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "JORGE",
"middle_name": "ENRIQUE",
"credential": "MD, FACOG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TX",
"license": "J2458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "098923803",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.