Individual provider Active NPI

Samayra Miranda Rodriguez, M. D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Dorado, PR
National Provider Identifier
1427289594
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
18693 Issued in PR
Practice address
Doctors Center Clinics Plaza Dorada Shopping Mall
Dorado, PR 00646
Phone
(787) 665-2222
NPI assigned
Aug 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18693 PR
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 18693 PR Primary

Addresses

Primary practice location

Doctors Center Clinics Plaza Dorada Shopping Mall
Dorado, PR 00646

Mailing address

PO Box 212
Dorado, PR 00646-0212
Phone (787) 615-5643

Other practice location 1

Doctors center hospital Manati
Carr 2 km 47.7
Manati, PR 00646
Phone (787) 621-3360 ext. 1407

Other practice location 2

Caribe Medical Plaza urb Santa Rita
Suite 201
Vega Alta, PR 00692
Phone (787) 615-5643

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171027000298 PR Practitioner - EndocrinologyPractitioner - Internal Medicine 9739458142 Practice locations: Dorado, PR

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

845 Carr
693 Suite 24
Dorado, PR 00646-6709
Phone (787) 665-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18693PRMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Alberto Zamot Carmona, P.S.C. Past Accepting new patients
Ammvr Group, Inc Past Accepting new patients
Dr. Javier O. Perez P.S.C Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: samayra.miranda@2621.securemail.prognocis.com
  • Direct secure messaging: samayra.mirandarodriguez.p1@direct.vitacare.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1427289594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460212",
            "telephone_number": "787-615-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DOCTORS CENTER CLINICS PLAZA DORADA SHOPPING MALL",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-665-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Doctors center hospital Manati",
            "address_2": "Carr 2 km 47.7",
            "address_purpose": "LOCATION",
            "city": "Manati",
            "state": "PR",
            "postal_code": "00646",
            "country_code": "US",
            "telephone_number": "787-621-3360 x1407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Caribe Medical Plaza urb Santa Rita",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Vega Alta",
            "state": "PR",
            "postal_code": "00692",
            "country_code": "US",
            "telephone_number": "787-615-5643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA RODRIGUEZ",
        "first_name": "SAMAYRA",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "18693",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "18693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

Verify at the official NPI Registry.