De la Cruz Miranda Orthopedic Services PSC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

12964 Issued in PR

Legal business name

DE LA CRUZ MIRANDA ORTHOPEDIC SERVICES PSC

Practice address

B1 Calle Santa Cruz
Suite 403 Carimed Plaza
Bayamon, PR 00961

Phone

(787) 798-7050

Fax

(787) 787-2107

NPI assigned

Feb 26, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Antonio Alberto Miranda, M.D.

Title

President

Phone

(787) 798-7050

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antonio A. De la Cruz Miranda, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Bayamon, PR
  • NPI 1972578284
  Medicare reassignment NPD

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1225453376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B17 CALLE POPPY",
            "address_2": "PARQUE FORESTAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-798-7050",
            "fax_number": "787-787-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B1 CALLE SANTA CRUZ",
            "address_2": "SUITE 403 CARIMED PLAZA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-798-7050",
            "fax_number": "787-787-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LA CRUZ MIRANDA ORTHOPEDIC SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-798-7050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PR",
            "license": "12964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "81409",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin De Jesus Rosa, PHARMD
• Orlando Emanuel De Jesus Rosario, PSYD
• Michael Gabriel De Jesus Soto
• Demy A De Jesus, PH D
• Gabriel De Jesus, PSY.D.
• Antonio A. De la Cruz Miranda, M.D.
• Sussan Ylanairy De la Cruz Ramirez, MD
• Frances Elimar De la Cruz Torres
• Alba Estela De la Cruz-Robles, MD
• Miguel Dario De la Cruz, M.D.

• Sports Medicine (Orthopaedic Surgery) Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.