Individual provider Active NPI

Juan German Miranda, M.D.

  • Cardiovascular Disease Physician
  • Guayama, PR
National Provider Identifier
1356419469
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
8514 Issued in PR
Practice address
92 Calle Duque
Guayama, PR 00784-5656
Phone
(787) 864-3731
Fax
(787) 864-3731
NPI assigned
Nov 30, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 8514 PR Primary

Addresses

Primary practice location

92 Calle Duque
Guayama, PR 00784-5656

Mailing address

PO Box 1439
Guayama, PR 00785-1439
Phone (787) 864-3731

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120530000191 PR Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 2860655933 Reassigns benefits to 1 organization
Practice locations: Guayama, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Menonita Guayama IncGroup PAC ID 6507127180, 8 clinicians

Practice addresses (Care Compare)

Ave Pedro Albizu Campos
Urb. la Hacienda
Guayama, PR 00785-8888
Phone (787) 434-1700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Menonita Guayama Inc CurrentSince Jan 19, 2025 Accepting new patients
Farmacia de la Comunidad Hospital Menonita de Guayama Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356419469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1439",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007851439",
            "telephone_number": "787-864-3731",
            "fax_number": "787-864-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 CALLE DUQUE",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007845656",
            "telephone_number": "787-864-3731",
            "fax_number": "787-864-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "JUAN",
        "middle_name": "GERMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "8514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.