Active NPI
Telemerge PA
- Internal Medicine Physician
- Miami Beach, FL
National Provider Identifier
1619740552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- TELEMERGE PA
- Practice address
- 1000 5TH St Ste 200
Miami Beach, FL 33139-6510 - Phone
- (305) 305-0310
- Fax
- (347) 579-0008
- NPI assigned
- Nov 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Altagracia Miranda, MD
- Title
- President/Owner
- Phone
- (305) 305-0310
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
1000 5TH St Ste 200
Miami Beach, FL 33139-6510
Mailing address
1000 5TH St Ste 200
Miami Beach, FL 33139-6510
Phone (305) 305-0310
Other practice location 1
1500 Astor Ave Fl 2
Bronx, NY 10469-5900
Phone (883) 443-4200
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706745600000",
"number": "1619740552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 5TH ST STE 200",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331396510",
"telephone_number": "305-305-0310",
"fax_number": "347-579-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 5TH ST STE 200",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331396510",
"telephone_number": "305-305-0310",
"fax_number": "347-579-0008"
}
],
"practiceLocations": [
{
"address_1": "1500 Astor Ave Fl 2",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104695900",
"country_code": "US",
"telephone_number": "883-443-4200",
"fax_number": "347-579-0008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TELEMERGE PA",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-02",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A",
"authorized_official_last_name": "MIRANDA",
"authorized_official_first_name": "ALTAGRACIA",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "305-305-0310",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.