Jose Adan Miranda, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

37019 Issued in TX

Practice address

3625 NW 82ND Ave Ste 400
Doral, FL 33166-7602

Phone

(305) 575-2505

NPI assigned

Feb 13, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1669711420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 SW 147TH AVE # 2143",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854082",
            "telephone_number": "305-575-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 NW 82ND AVE STE 400",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331667602",
            "telephone_number": "305-575-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "JOSE",
        "middle_name": "ADAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-13",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8556",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula A Miranda Bucio, DMD
• Miranda FL Group LLC
• Angelo Miranda
• Grace Miranda
• Jean C. Miranda, B.A.
• Yanet Miranda, BS
• Mirta N. Matos Psy.D P.a.
• Janila Mirzataheri
• Kristina Mishchenko
• Mitzvah Center for Health, Inc

• Psychologist in Doral, FL
• Providers in Doral, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.