Active NPI
Maria Del C. Medero Miranda, RPT
- Physical Therapist
- Humacao, PR
National Provider Identifier
1376784595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 815
- Practice address
- Calle Rio Portugues L7 Urb. Villas del Rio
Humacao, PR 00791 - Phone
- (787) 245-1325
- NPI assigned
- Mar 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 815 | PR | Primary |
Addresses
Primary practice location
Calle Rio Portugues L7 Urb. Villas del Rio
Humacao, PR 00791
Mailing address
PO Box 95
Humacao, PR 00792-0095
Phone (787) 245-1325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 815 | PR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237334400000",
"number": "1376784595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007920095",
"telephone_number": "787-245-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE RIO PORTUGUES L7 URB. VILLAS DEL RIO",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-245-1325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDERO MIRANDA",
"first_name": "MARIA",
"middle_name": "DEL C.",
"name_prefix": "Ms.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-18",
"last_updated": "2009-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.