Individual provider Active NPI

Adrian Aurelio Miro Co, MD

  • General Practice Physician
  • Florida, PR
National Provider Identifier
1417402330
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22941 Issued in PR
Practice address
155-199 Calle Arizmendi
Florida, PR 00650
Phone
(787) 822-2170
NPI assigned
Aug 20, 2016
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22941 PR Primary

Addresses

Primary practice location

155-199 Calle Arizmendi
Florida, PR 00650

Mailing address

100 PR-682 #831
Garrochales
Arecibo, PR 00652

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

LicenseStateTypeSpecialty
22941PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1417402330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PR-682 #831",
            "address_2": "GARROCHALES",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155-199 CALLE ARIZMENDI",
            "city": "FLORIDA",
            "state": "PR",
            "postal_code": "00650",
            "telephone_number": "787-822-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRO CO",
        "first_name": "ADRIAN",
        "middle_name": "AURELIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-20",
        "last_updated": "2024-03-25",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.