Individual provider Active NPI

Christian William Miranda-Lozada

  • Clinical Psychologist
  • Adjuntas, PR
National Provider Identifier
1306459300
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8203 Issued in PR
Practice address
44 Calle Garzas
Adjuntas, PR 00601
Phone
(787) 829-2910
NPI assigned
Aug 28, 2020
Last updated
Feb 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 8203 PR Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

44 Calle Garzas
Adjuntas, PR 00601

Mailing address

PO Box 1003
Castaner, PR 00631-1003
Phone (787) 829-5010

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250307001097 PR Practitioner - Clinical Psychologist 7214458181 Reassigns benefits to 1 organization
Practice locations: Yauco, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8203PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. Current Accepting new patients
Inspira Behavioral Care Corp CurrentSince Dec 26, 2024 Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Dec 26, 2024 Accepting new patients

Locations

55 Calle Comercio
Yauco, PR 00698
Phone (787) 267-1810

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1306459300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1003",
            "city": "CASTANER",
            "state": "PR",
            "postal_code": "006311003",
            "telephone_number": "787-829-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 CALLE GARZAS",
            "city": "ADJUNTAS",
            "state": "PR",
            "postal_code": "00601",
            "telephone_number": "787-829-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA-LOZADA",
        "first_name": "CHRISTIAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8203",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adjuntas, PR

Sources for this page

Verify at the official NPI Registry.