Active NPI
Liliana Zoe Miranda, M.D.
- Psychiatry Physician
- Guaynabo, PR
National Provider Identifier
1598828352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 16449
- Practice address
- 140 Ave Las Cumbres
Guaynabo, PR 00969-5523 - Phone
- (787) 272-1292
- Fax
- (787) 287-2487
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M1939 | TX | |
| Psychiatry Physician | 2084P0800X | 16449 | PR | Primary |
Addresses
Primary practice location
140 Ave Las Cumbres
Guaynabo, PR 00969-5523
Mailing address
PO Box 383
35 Juan C Borbon Suite 67
Guaynabo, PR 00970-0383
Phone (787) 272-1292
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M1939 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LM Behavioral PSC | Past | Accepting new patients | |
| Inspira Psychiatric Services PSC | Past | Accepting new patients |
Interoperability endpoints
- liliana.miranda@54618109378564.direct.elationemr.com
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.
-
- Adult Mental Health Clinic/Center
- Bayamon, PR
- NPI 1912088238
-
- Adult Mental Health Clinic/Center
- Guaynabo, PR
- NPI 1871780239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1598828352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 383",
"address_2": "35 JUAN C BORBON SUITE 67",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009700383",
"telephone_number": "787-272-1292",
"fax_number": "787-287-2487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 AVE LAS CUMBRES",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009695523",
"telephone_number": "787-272-1292",
"fax_number": "787-287-2487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "LILIANA",
"middle_name": "ZOE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "M1939",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "16449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.