Ubaldo A Miranda

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME147214 Issued in FL

Practice address

3218 Hillsdale LN
Kissimmee, FL 34741-7562

Phone

(407) 738-4349

NPI assigned

Jan 14, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ubaldo A Miranda Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

General Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wedo Medical Center CorpGroup PAC ID 0143617712, 2 clinicians

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: ubaldo.miranda.1@24158.direct.athenahealth.com

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.

• Lorin Medical Group LLC

  • Family Medicine Physician
  • Lady Lake, FL
  • NPI 1659251411
  Medicare reassignment NPD Authorized official
• Ubaldo a Miranda MD PA

  • General Practice Physician
  • Kissimmee, FL
  • NPI 1750966149

  Family Medicine

  Medicare reassignment NPD Authorized official
• Wedo Medical Center Corp

  • General Practice Physician
  • Miami, FL
  • NPI 1245990019
  Medicare reassignment Care Compare group NPD
• Angel Touch Nurse Registered LLC

  • Home Health Agency
  • Miami, FL
  • NPI 1700512365

  Family Medicine

  Medicare reassignment NPD
• Med Therapy & Spa, Inc.

  • Family Medicine Physician
  • South Miami, FL
  • NPI 1093297384
  Medicare reassignment NPD
• Ramses Vega MD PA

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1306942594
  Medicare reassignment NPD
• Sunshine Wound Health Care Corp

  • Health Service Clinic/Center
  • Miami, FL
  • NPI 1225819550
  Medicare reassignment NPD
• Vega Health Center Inc

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1114662137
  NPD
• Professional Health Care Medical Equipment, LLC

  • Oxygen Equipment & Supplies (DME)
  • Hialeah, FL
  • NPI 1700061157
  NPD (past)

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1366916231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 HILLSDALE LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417562",
            "telephone_number": "786-241-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 HILLSDALE LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417562",
            "telephone_number": "407-738-4349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14271 SW 42nd St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331756408",
            "country_code": "US",
            "telephone_number": "786-431-1180",
            "fax_number": "407-264-6011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "UBALDO",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-14",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME147214",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "HSE27900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108267400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Officeally",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3218 Hillsdale Ln",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347417562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "UBALDO",
            "last_name": "MIRANDA",
            "middle_name": "A",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carlos Guillermo Miranda, M.D.
• Johanna Miranda, CASE MANAGER
• Maria Noelia Miranda, RN BSN
• Myrna I Miranda
• Selena Miranda, PA-C
• Whitney Roberson Miranda, O.D.
• Joseph S Miranti
• Mirasan, LLC
• Fariha Nehreen Mirza
• Norbert Leo Misch Jr., D.M.D.

• General Practice Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.