Ariel Ivan Beauchamp Miranda, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1953 Issued in PR

Practice address

A7 Calle Marginal
Urb Jardines de Arecibo
Arecibo, PR 00612-2823

Phone

(787) 879-2593

Fax

(787) 879-2593

NPI assigned

Apr 16, 2007

Last updated

Jul 8, 2007By 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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619192606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140066",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006140066",
            "telephone_number": "787-879-2593",
            "fax_number": "787-879-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A7 CALLE MARGINAL",
            "address_2": "URB JARDINES DE ARECIBO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006122823",
            "telephone_number": "787-879-2593",
            "fax_number": "787-879-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHAMP MIRANDA",
        "first_name": "ARIEL",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Marie Barbosa, PSY.D
• Gabriela Cristina Barrios, SLP M.D.
• Glorily Barroso
• Cleidy Joan Batista, OPT
• Elba Rosa Gonzalez Bauza, MD
• Beautiful Mind
• Sandra E Betancourt, MD
• Better Vision Optical Inc
• Pedro Luis Bidot de Jesus, MD
• Bio-Medical Applications of Arecibo, Inc. (Centro Renal de Arecibo)

• General Practice Dentistry in Arecibo, PR
• Providers in Arecibo, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.