NPIMap

Organization Active NPI

Roberto Miranda, MD PA

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1457598690
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E2740 Issued in TX
Legal business name
ROBERTO MIRANDA, MD PA
Practice address
110 Chalmers Ave Ste B
Austin, TX 78702-4489
Phone
(512) 477-9202
Fax
(512) 472-9473
NPI assigned
Jan 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Dr. Roberto Miranda, MDNPI 1891798633
Title
Physician/Owner
Phone
(512) 477-9202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X E2740 TX Primary

Addresses

Primary practice location

110 Chalmers Ave Ste B
Austin, TX 78702-4489

Mailing address

110 Chalmers Ave Ste B
Austin, TX 78702-4489
Phone (512) 477-9202

National Provider Directory

National Provider Directory

Locations

110 Chalmers Ave
Ste B
Austin, TX 78702
Phone (512) 477-9202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1457598690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CHALMERS AVE STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787024489",
            "telephone_number": "512-477-9202",
            "fax_number": "512-472-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHALMERS AVE STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787024489",
            "telephone_number": "512-477-9202",
            "fax_number": "512-472-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO MIRANDA, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "512-477-9202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E2740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.