Active NPI
Graciany Miranda, MD.
- Hematology & Oncology Physician
- Humacao, PR
National Provider Identifier
1386639995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 5558
- Practice address
- Dufresne Street No.7
Humacao, PR 00791 - Phone
- (787) 852-5260
- Fax
- (787) 285-7958
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 5558 | PR | Primary |
Addresses
Primary practice location
Dufresne Street No.7
Humacao, PR 00791
Mailing address
295 Palmas Inn Way
Suite 130 PMB 309
Humacao, PR 00791-6181
Phone (787) 852-5260
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060328000565 | PR | Practitioner - Hematology/Oncology | 0648288928 | Practice locations: Humacao, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
295 Palmas Inn Way
Suite 130 PMB 309
Humacao, PR 00791-6181
7 Dufresne Bajos
Humacao, PR 00791
Phone (787) 852-5260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1386639995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 PALMAS INN WAY",
"address_2": "SUITE 130 PMB 309",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007916181",
"telephone_number": "787-852-5260",
"fax_number": "787-285-7958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DUFRESNE STREET NO.7",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-852-5260",
"fax_number": "787-285-7958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "GRACIANY",
"name_prefix": "Dr.",
"credential": "MD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "PR",
"license": "5558",
"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 Aug 10, 2011; 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.