Roberto Miranda Guzman, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17064 Issued in PR

Practice address

Carr 653 KM 2.2 Bo Hato Abajo Sector Barrancas
Arecibo, PR 00612-0000

Phone

(787) 609-3070

Fax

(787) 609-3070

NPI assigned

Mar 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

General Practice

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Doctors Center Hospital Arecibo IncGroup PAC ID 4880773605, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Doctors Center Hospital Arecibo Inc

  • Emergency Care Clinic/Center
  • Arecibo, PR
  • NPI 1740400035
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1295906204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB JARDINES DE ARECIBO",
            "address_2": "CALLE PU #1",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006120000",
            "telephone_number": "787-879-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 653 KM 2.2 BO HATO ABAJO SECTOR BARRANCAS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006120000",
            "telephone_number": "787-609-3070",
            "fax_number": "787-609-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA GUZMAN",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295906204",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENCE",
            "identifier": "2039426",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milca
• Siaritza Milian, MD
• Mind in Motion
• Dennis Miraglia, MD
• Mirtha Jacqueline Miraglia, MD
• Ada Y. Miranda-Ruiz, M.D.
• Ada Smyrna Miranda, M.D.
• Jaime Miranda
• Mirelys Nieves Delgado
• Ana D Mislan, MSW

• General Practice Physician in Arecibo, PR
• Providers in Arecibo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.