Individual provider Active NPI

Angela M Miranda-Rivas, M.D.

  • Obstetrics & Gynecology Physician
  • Guayama, PR
National Provider Identifier
1366859332
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
19975 Issued in PR
Practice address
128 Calle Ashford S Ste 104
Guayama, PR 00784-5421
Phone
(787) 866-0153
NPI assigned
Jul 22, 2014
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 19975 PR Primary

Addresses

Primary practice location

128 Calle Ashford S Ste 104
Guayama, PR 00784-5421

Mailing address

PO Box 2009
Guayama, PR 00785-2009
Phone (787) 510-2928

Other practice location 1

Ave Americo Miranda Entrada Principal
University Hospital Medical Center
San Juan, PR 00935
Phone (787) 510-2928

Other practice location 2

Esquina Principal Urb La Hacienda Albizu Campos
guayama, PR 00784
Phone (787) 434-1700

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
I20190530001972 PR Practitioner - Obstetrics/Gynecology 1254674534 Reassigns benefits to 4 organizations
Practice locations: Guayama, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19975PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Single Specialty CurrentSince Jul 29, 2021 Accepting new patients
Miranda OBGYN LLC Single Specialty CurrentSince Oct 8, 2024 Accepting new patients
Recinto de Ciencias Medicas Single Specialty CurrentSince Mar 20, 2021 Accepting new patients
Concilio de Salud Integral de Loiza, Inc. Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
Recinto de Ciencias Medicas Single Specialty CurrentSince Jul 29, 2021 Accepting new patients
Recinto de Ciencias Medicas Single Specialty CurrentSince Mar 20, 2021 Accepting new patients
Servicios Medicos Universitarios Inc Single Specialty Past Accepting new patients
Hospital Menonita Guayama Inc Past Accepting new patients

Locations

128 Calle Ashford S
Ste 104
Guayama, PR 00784
Phone (787) 510-5029

2 Calle Vicente Pales E
Guayama, PR 00784
Phone (787) 455-6400

Centro Medico De Puerto Ri
San Juan, PR 00935

Hospital Universitario De Adultos
San Juan, PR 00935
Phone 78775401013660

Organizations & group practices 8

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": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1366859332",
    "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": "787-510-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CALLE ASHFORD S STE 104",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007845421",
            "telephone_number": "787-866-0153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Ave Americo Miranda Entrada Principal",
            "address_2": "University Hospital Medical Center",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00935",
            "country_code": "US",
            "telephone_number": "787-510-2928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Esquina Principal Urb La Hacienda Albizu Campos",
            "address_purpose": "LOCATION",
            "city": "guayama",
            "state": "PR",
            "postal_code": "00784",
            "country_code": "US",
            "telephone_number": "787-434-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA-RIVAS",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "19975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.