Dana Miro Medina

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

100 Carr. 165 Torre 1 Suite C-107
Centro Internacional de Mercadeo
Guaynabo, PR 00968

Phone

(787) 999-5400

NPI assigned

Apr 13, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• International Radiology Center & Medical Group, PSC

  • Specialist
  • Guaynabo, PR
  • NPI 1770750317
  NPD (past)
• PLG Breast Imaging Services, PSC

  • Diagnostic Radiology Physician
  • San Juan, PR
  • NPI 1952884702
  NPD (past)

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1659697944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A4 CALLE 2 MANSIONES DE GARDEN HILLS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-943-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CARR. 165 TORRE 1 SUITE C-107",
            "address_2": "CENTRO INTERNACIONAL DE MERCADEO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-999-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRO MEDINA",
        "first_name": "DANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1558",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saul Miranda Santana, 0539P
• Victor Miranda Santana, 0416B
• Jocelyn Vianney Miranda, DC
• Liliana Zoe Miranda, M.D.
• Sharlene Monique Miranda, O.D.
• Mogave LLC
• Moises Molina Echevarria, 1326P
• Ramon H Molina Jimenez, 0877P
• Mariella Molina Rossy, DC
• Jose Jaime Molina-Laborde, CCP-C, FP-C, UF CCP

• Nutritionist in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.