Eliel Miranda, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22064 Issued in PR

Practice address

Carr 416 KM 1.3
Aguada, PR 00602

Phone

(787) 214-2067

NPI assigned

Oct 22, 2020

Last updated

Oct 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joy Group Corporation

  • Internal Medicine Physician
  • Moca, PR
  • NPI 1992259659
  NPD (past)
• Zra Mental Health P.S.C.

  • Psychiatry Physician
  • Cabo Rojo, PR
  • NPI 1467854083
  NPD (past)

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1568061372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 31531",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029757",
            "telephone_number": "787-214-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 416 KM 1.3",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-214-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "ELIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080010193161",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mirandaemg@gmail.com",
            "affiliation": "N",
            "address_1": "Carr 416 km 1.3",
            "city": "Aguada",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• MHH Medical Services LLC
• Mi Laboratorio Clinico Coop (Milabcoop)
• Sheila M Millayes Nieves
• Mindful Healing Psychotherapy Clinic
• Mindset Therapy Group
• Naray Miranda, PHARM. D.
• Marcia B Molina Zamora
• Yarimalee Molina
• Luis A Montalvo
• Jessica Morales Acevedo, PSYD, MSW

• General Practice Physician in Aguada, PR
• Providers in Aguada, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.