Individual provider Active NPI

Alexander Albert Miranda, M.D.

  • Internal Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1285725515
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12677 Issued in FL
Practice address
3385 Burns Rd
Suite 203
Palm Beach Gardens, FL 33410-4328
Phone
(561) 429-2510
Fax
(561) 429-2514
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12677 FL Primary

Addresses

Primary practice location

3385 Burns Rd
Suite 203
Palm Beach Gardens, FL 33410-4328

Mailing address

3385 Burns Rd
Suite 203
Palm Beach Gardens, FL 33410-4328
Phone (561) 429-2510

Other identifiers 1

IdentifierTypeStateIssuer
0475599-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050427001043 FL Practitioner - Internal MedicinePractitioner - Endocrinology 7214976448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3370 Burns Rd
Suite 105
Palm Beach Gardens, FL 33410-4327
Phone (561) 429-2910

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12677FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander a Miranda MD PA Internal Medicine CurrentSince Nov 19, 2011 Accepting new patients
Best Medical Clinics Inc PastSince Jun 1, 2013 Accepting new patients
Somax Medical Center Inc PastSince Feb 15, 2008 Accepting new patients
Key West Hma Physician Management LLC Past Accepting new patients

Locations

3370 Burns Rd
Ste 105
Palm Beach Gardens, FL 33410
Phone (561) 630-8570

3385 Burns Rd
Ste 203
Palm Beach Gardens, FL 33410
Phone (561) 429-2510

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

Interoperability endpoints

  • Direct secure messaging: amiranda20445@jupitermedicalcenter.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1285725515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 BURNS RD",
            "address_2": "SUITE 203",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104328",
            "telephone_number": "561-429-2510",
            "fax_number": "561-429-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 BURNS RD",
            "address_2": "SUITE 203",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104328",
            "telephone_number": "561-429-2510",
            "fax_number": "561-429-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "ALEXANDER",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "12677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0475599-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.