NPIMap

Individual provider Active NPI

Joel Torres Miranda, PHARM D.

  • Pharmacist
  • San Juan, PR
National Provider Identifier
1225763790
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
008010 Issued in PR
Practice address
1963 Calle Loiza
San Juan, PR 00911-1831
Phone
(787) 728-0033
NPI assigned
Jul 19, 2022
Last updated
Dec 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 008010 PR Primary
Pharmacy Technician 183700000X

Addresses

Primary practice location

1963 Calle Loiza
San Juan, PR 00911-1831

Mailing address

PO Box 630
Villalba, PR 00766-0630
Phone (787) 203-4751

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rxm.12599@store.walgreens.com Health Information Exchange (HIE) WALGREEN CO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
008010PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Jul 1, 2022 Accepting new patients
Walgreen Co PastSince Jul 1, 2022 Accepting new patients
Walgreen Co PastSince Dec 6, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rxm.12599@store.walgreens.com

Organizations & group practices 3

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": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1225763790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007660630",
            "telephone_number": "787-203-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 CALLE LOIZA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111831",
            "telephone_number": "787-728-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES MIRANDA",
        "first_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "008010",
            "primary": true
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.12599@store.walgreens.com",
            "affiliation": "Y",
            "affiliationName": "WALGREEN CO",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "Calle Roberto H Todd Esq Ave Fernandez Juncos",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.