Luis R Miranda-Iglesias, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

11511 Issued in PR

Practice address

Avda Ashford #128
Suiet 104
Guayama, PR 00784

Phone

(787) 866-0153

Fax

(787) 866-8848

NPI assigned

Nov 14, 2005

Last updated

Oct 1, 2012By the provider in NPPES

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

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

Obstetrics/Gynecology

Education

Other, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: luis.mirandaiglesias.p1@direct.vitacare.nextgenshare.com

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.

• Miranda OBGYN LLC

  • Gynecology Physician
  • Guayama, PR
  • NPI 1295590727
  NPD
• Hospital Menonita Guayama Inc

  dba Hospital Menonita de Guayama

  • Critical Access Hospital
  • Guayama, PR
  • NPI 1639696289
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1326029653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2009",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007852009",
            "telephone_number": "787-866-0153",
            "fax_number": "787-866-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVDA ASHFORD #128",
            "address_2": "SUIET 104",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-866-0153",
            "fax_number": "787-866-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA-IGLESIAS",
        "first_name": "LUIS",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "11511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mennonite General Hospital, Inc (Centro de Salud Conductual Menonita ambulatorio Guayama)
• Karla M Mercado Pagan, MD
• Harry Mercado
• Mi Farmacia Inc
• Miranda OBGYN LLC
• Angela M Miranda-Rivas, M.D.
• Juan German Miranda, M.D.
• Maria Delcarmen Miranda, M.D.
• MK Enterprise Inc
• Adriana Teresa Moguel Jimenez, LICENCIADA

• Obstetrics & Gynecology Physician in Guayama, PR
• Providers in Guayama, PR by specialty
• Obstetrics & Gynecology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.