Pedro A Miro Sotomayor, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

2683 Issued in PR

Practice address

450 Ferrocarril Street
Suite 302 Santa Maria Medical Building
Ponce, PR 00717-1105

Phone

(787) 844-7027

Fax

(787) 844-6888

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Asociacion Cardiovascular del Sur de Puerto Rico, Inc.

  • Cardiovascular Disease Physician
  • Coto Laurel, PR
  • NPI 1851361760
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1316901374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336450",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007336450",
            "telephone_number": "787-844-6669",
            "fax_number": "787-844-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 FERROCARRIL STREET",
            "address_2": "SUITE 302 SANTA MARIA MEDICAL BUILDING",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171105",
            "telephone_number": "787-844-7027",
            "fax_number": "787-844-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRO SOTOMAYOR",
        "first_name": "PEDRO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "2683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316901374",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Visual Clinic & Optical LLC
• Delimar Miranda-Viera, M.D.
• Jormar Etheldreda Miranda, PSY.D
• Lisa Antoenette Miranda, PSY. D.
• Rosaidys Mary Miranda
• Armando Aurelio Miro
• Adam Mittman, MD
• Mo Therapy Center
• Fernando Andres Moctezuma Pagan
• Modern Radiology,PSC

• Cardiovascular Disease Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Cardiovascular Disease Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.