Individual provider Active NPI

Jorge Enrique Miranda, MD, FACOG

  • Gynecology Physician
  • McAllen, TX
National Provider Identifier
1205989613
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
J2458 Issued in TX
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
098923803MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711001435 TX Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 4688640717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Rios Womens Health, PA PastSince Aug 1, 2000 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.