Individual provider Active NPI

Carmen Celia Miranda, BSN

  • Registered Nurse
  • Carolina, PR
National Provider Identifier
1649464108
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
5453 Issued in PR
Practice address
GJ15 Ave Roberto Sanchez Vilella Ste 201
Carolina, PR 00982-2656
Phone
(787) 257-1860
Fax
(787) 257-9426
NPI assigned
Aug 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 5453 PR Primary

Addresses

Primary practice location

GJ15 Ave Roberto Sanchez Vilella Ste 201
Carolina, PR 00982-2656

Mailing address

GJ15 Ave Roberto Sanchez Vilella Ste 201
Carolina, PR 00982-2656
Phone (787) 257-1860

Other names 1

  • Mrs. Carmen Celia Serrano Other name

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
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
5453PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1649464108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GJ15 AVE ROBERTO SANCHEZ VILELLA STE 201",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009822656",
            "telephone_number": "787-257-1860",
            "fax_number": "787-257-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GJ15 AVE ROBERTO SANCHEZ VILELLA STE 201",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009822656",
            "telephone_number": "787-257-1860",
            "fax_number": "787-257-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "CARMEN",
        "middle_name": "CELIA",
        "credential": "BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "5453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "SERRANO",
            "middle_name": "CELIA",
            "prefix": "MRS.",
            "credential": "BSN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.