Glenda Michelle Miranda Tirado, M. D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

17265 Issued in PR

Practice address

Hospital Auxilio Mutuo
Ave Ponce de Leon Pda 37 1/2
San Juan, PR 00919

Phone

(787) 758-2000

NPI assigned

Oct 8, 2008

Last updated

Jun 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

NephrologyAlso: Internal Medicine

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• FKC Naranjito Dialysis facility, Naranjito, PR, CCN 402546
• Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Renalife, PSC

  • Nephrology Physician
  • San Juan, PR
  • NPI 1083964357
  Medicare reassignment Authorized official
• Integrated Renal Care Services Inc.

  • Nephrology Physician
  • Toa Baja, PR, PR
  • NPI 1700645447
  NPD
• RM Internal Medicine, PSC

  • Internal Medicine Physician
  • Humacao, PR
  • NPI 1336497056
  NPD (past)

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

• Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1265493001
  Care Compare affiliation

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1306097373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1947",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007261947",
            "telephone_number": "787-224-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL AUXILIO MUTUO",
            "address_2": "AVE PONCE DE LEON PDA 37 1/2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00919",
            "telephone_number": "787-758-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Cooperativa Jard. San Ignacio",
            "address_2": "Apt. 608B",
            "address_purpose": "LOCATION",
            "city": "Rio Piedras",
            "state": "PR",
            "postal_code": "00927",
            "country_code": "US",
            "telephone_number": "787-224-0499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA TIRADO",
        "first_name": "GLENDA",
        "middle_name": "MICHELLE",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "17265",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "17265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esmeralda Miranda Lama, MD
• William Danil Miranda Lopez, M.D.
• Alejandra I Miranda Melendez, PHARMD
• Sabrina M Miranda Santiago
• Roberto Miranda Soto
• Yasiris Miranda Torres
• Addyth G Miranda Valle
• Aldo L Miranda-Collazo, DMD
• Alfonso Miranda-Garcia, CRNA
• Veronica Miranda-Lopez

• Nephrology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Nephrology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.