Individual provider Active NPI

Miranis Garcia, ARNP

  • Medical Physician Assistant
  • Homestead, FL
National Provider Identifier
1447977962
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
F01220194 Issued in FL
Practice address
27104 S Dixie Hwy
Homestead, FL 33032-7317
Phone
(305) 247-0018
Fax
(305) 247-0078
NPI assigned
Oct 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X F01220194 FL Primary

Addresses

Primary practice location

27104 S Dixie Hwy
Homestead, FL 33032-7317

Mailing address

27104 S Dixie Hwy
Homestead, FL 33032-7317
Phone (305) 247-0018

Other practice location 1

28652 S Dixie Hwy
Homestead, FL 33033-1215
Phone (305) 247-0018

Other identifiers 1

IdentifierTypeStateIssuer
003619700OtherFLFAMILY PRACTICE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mirakevin1@homail.com Direct

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

State licenses

LicenseStateTypeSpecialty
F01220194FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Roberto Bermudez MD PA CurrentSince Oct 30, 2022 Accepting new patients

Locations

28652 S Dixie Hwy
Homestead, FL 33033
Phone (305) 247-0018

27104 S Dixie Hwy
Naranja, FL 33032
Phone (305) 246-7999

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1447977962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27104 S DIXIE HWY",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330327317",
            "telephone_number": "305-247-0018",
            "fax_number": "305-247-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27104 S DIXIE HWY",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330327317",
            "telephone_number": "305-247-0018",
            "fax_number": "305-247-0078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28652 S Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330331215",
            "country_code": "US",
            "telephone_number": "305-247-0018",
            "fax_number": "305-247-0078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MIRANIS",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "F01220194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PRACTICE",
            "identifier": "003619700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mirakevin1@homail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14730 SW 57th Ter",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331932499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.