Individual provider Active NPI

Alexandra Miranda, LND, MPSY

  • Registered Dietitian
  • Caguas, PR
National Provider Identifier
1235857020
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1863 Issued in PR
Practice address
10 San Felix Plaza
Carr 172 KM 19.6
Caguas, PR 00725
Phone
(787) 469-2590
NPI assigned
Aug 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6837 PR
Registered Dietitian 133V00000X 1863 PR Primary

Addresses

Primary practice location

10 San Felix Plaza
Carr 172 KM 19.6
Caguas, PR 00725

Mailing address

PO Box 737
Caguas, PR 00726-0737
Phone (787) 469-2590

Other practice location 1

Galeria Paseos
100 Grand Paseo Blvlocal 105a
San Juan, PR 00926
Phone (787) 469-2590

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6837PRMDCounseling Psychologist
1863PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1235857020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 737",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007260737",
            "telephone_number": "787-469-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SAN FELIX PLAZA",
            "address_2": "CARR 172 KM 19.6",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-469-2590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "GALERIA PASEOS",
            "address_2": "100 GRAND PASEO BLVLOCAL 105A",
            "address_purpose": "LOCATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "country_code": "US",
            "telephone_number": "787-469-2590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "ALEXANDRA",
        "credential": "LND, MPSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "6837",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "1863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.