Active NPI
Rafael Manuel Miranda, DC
- Chiropractor
- Villalba, PR
National Provider Identifier
1578264271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 908
- Practice address
- Urb. Las Alondras Calle 1
A10
Villalba, PR 00766-2301 - Phone
- (787) 486-7919
- NPI assigned
- Mar 10, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 908 | PR | Primary |
Addresses
Primary practice location
Urb. Las Alondras Calle 1
A10
Villalba, PR 00766-2301
Mailing address
Urb. Las Alondras Calle 1
A10
Villalba, PR 00766-2301
Phone (787) 486-7919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1228 Ave Munoz Rivera
Suite 1
Ponce, PR 00717-0639
Phone (939) 500-0649
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Spine Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Modern Spine Chiropractic LLC | Past | Accepting new patients |
Locations
1228 Ave Munoz Rivera
Ste 1
Ponce, PR 00717
Phone (787) 842-9122
Organizations & group practices 2
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.
-
- Chiropractor
- Ponce, PR
- NPI 1679265417
-
- Health Service Clinic/Center
- Ponce, PR
- NPI 1134043979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1578264271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. LAS ALONDRAS CALLE 1",
"address_2": "A10",
"city": "VILLALBA",
"state": "PR",
"postal_code": "007662301",
"telephone_number": "787-486-7919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. LAS ALONDRAS CALLE 1",
"address_2": "A10",
"city": "VILLALBA",
"state": "PR",
"postal_code": "007662301",
"telephone_number": "787-486-7919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "RAFAEL",
"middle_name": "MANUEL",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-10",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Villalba, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.