Milton R Miranda Rosa, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

S7729 Issued in TX

Practice address

221 3Rd St W BLDG 1040
Jbsa Randolph, TX 78150-4800

Phone

(787) 925-5756

NPI assigned

Jan 18, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: sjcmmirand@yourcarecommunity.org

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1225376726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CHAMPIONS BND",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584804",
            "telephone_number": "787-925-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 3RD ST W BLDG 1040",
            "city": "JBSA RANDOLPH",
            "state": "TX",
            "postal_code": "781504800",
            "telephone_number": "787-925-5756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Bo Mamey Carr 4417 km 1.1",
            "address_purpose": "LOCATION",
            "city": "Aguada",
            "state": "PR",
            "postal_code": "006020678",
            "country_code": "US",
            "telephone_number": "787-925-5756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14100 San Pedro Ave Ste 412",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782322009",
            "country_code": "US",
            "telephone_number": "210-281-8669",
            "fax_number": "210-314-5044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA ROSA",
        "first_name": "MILTON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-18",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "18615",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S7729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecelia Mariko Luda, M.D.
• Deanne Villarreal Martinez, P.A.
• Joyce Debora Mason, RN
• Andrew Stuntz McCampbell, PA-C, DMSC
• Jacqueline Mills, JACQUELINE MILLS
• Juan D Moreno, P.A.
• Angela Nance, LCSW
• John Yoonsik Oh, MD
• Alexander Scott Patlovany, PHARMD
• Andrew Pellegrin, MD

• Pediatrics Physician in Jbsa Randolph, TX
• Providers in Jbsa Randolph, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.