Individual provider Active NPI

Francisco Javier Miranda, MD

  • Family Medicine Physician
  • Fort Buchanan, PR
National Provider Identifier
1275543563
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12490 Issued in PR
Practice address
21 Patriot Blvd
Fort Buchanan, PR 00934-4519
Phone
(939) 717-7410
NPI assigned
Aug 9, 2006
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12490 PR Primary

Addresses

Primary practice location

21 Patriot Blvd
Fort Buchanan, PR 00934-4519

Mailing address

21 Patriot Blvd
Fort Buchanan, PR 00934-4519
Phone (787) 855-6410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20121112000576 PR Practitioner - Family Practice 0840441234 Practice locations: Vega Baja, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1275543563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PATRIOT BLVD",
            "city": "FORT BUCHANAN",
            "state": "PR",
            "postal_code": "009344519",
            "telephone_number": "787-855-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PATRIOT BLVD",
            "city": "FORT BUCHANAN",
            "state": "PR",
            "postal_code": "009344519",
            "telephone_number": "939-717-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "FRANCISCO",
        "middle_name": "JAVIER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "12490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Buchanan, PR

Sources for this page

Verify at the official NPI Registry.