Active NPI
Mirtha Jacqueline Miraglia, MD
- Internal Medicine Physician
- Arecibo, PR
National Provider Identifier
1386475176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12372
- Practice address
- 312 Ave Jose de Diego Ste 103
Arecibo, PR 00612-4586 - Phone
- (305) 803-1759
- NPI assigned
- Aug 12, 2024
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12372 | PR | Primary |
Addresses
Primary practice location
312 Ave Jose de Diego Ste 103
Arecibo, PR 00612-4586
Mailing address
312 Ave Jose de Diego Ste 103
Arecibo, PR 00612-4586
Phone (305) 803-1759
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12372 | PR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1386475176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 AVE JOSE DE DIEGO STE 103",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006124586",
"telephone_number": "305-803-1759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 AVE JOSE DE DIEGO STE 103",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006124586",
"telephone_number": "305-803-1759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRAGLIA",
"first_name": "MIRTHA",
"middle_name": "JACQUELINE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "12372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.