Edgar Javier Miranda Gonzalez

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

32410-R Issued in PR

Practice address

65TH Infantery Ave, Carr.3 KM. 8.3
Hospital Upr Dr. Federico Trilla
Carolina, PR 00985

Phone

(787) 757-1800

NPI assigned

Jun 23, 2014

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 FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• Florida Emergency Physicians Kang and Associates MD LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Orlando, FL
  • NPI 1811983752
  Medicare reassignment NPD

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1649685298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65TH INFANTERY AVE, CARR.3 KM. 8.3",
            "address_2": "HOSPITAL UPR DR. FEDERICO TRILLA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-757-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65TH INFANTERY AVE, CARR.3 KM. 8.3",
            "address_2": "HOSPITAL UPR DR. FEDERICO TRILLA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-757-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA GONZALEZ",
        "first_name": "EDGAR",
        "middle_name": "JAVIER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "32410-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ismenio Millan-Aponte, MD
• Iris M Millan, RPH
• Millennium Vision Center PSC
• Katia Natasha Miller Pagan
• Karen Lucille Mir-Badillo, PH.D.
• Paloma Cristal Miranda Malaret, PHARMD
• Rafael Miranda Malave, M.D.
• Gabriel J Miranda Ramirez, M.D.
• Raysa Enid Miranda-Ortiz
• Caritza Miranda, M.S.

• Emergency Medicine Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• Emergency Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.