Organization Active NPI

Telemerge PA

  • Internal Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1619740552
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Feb 1, 2024

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.