Bronx Modern Medical. PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

217149 Issued in NY

Legal business name

BRONX MODERN MEDICAL. PC

Practice address

446 East 149TH Street
Bronx, NY 10455-1200

Phone

(718) 676-4600

Fax

(718) 676-4603

NPI assigned

Jul 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ray C Miranda, MD

Title

Owner

Phone

(718) 676-4600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1669785150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 EAST 149TH STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551200",
            "telephone_number": "718-676-4600",
            "fax_number": "718-676-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 EAST 149TH STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551200",
            "telephone_number": "718-676-4600",
            "fax_number": "718-676-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX MODERN MEDICAL. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-676-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "217149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bronx Medical Practice P.C.
• Bronx Medical Services 21 P.C.
• Bronx Medical Services PLLC
• Bronx Medical-Cardiac, PLLC
• Bronx Metro Healthcare Medical PC
• Bronx Nephrology Hypertension PC
• Bronx Ophthalmologic PC.
• Bronx Ophthalmologic, PC
• Bronx Ophthalmology PC.
• Bronx Oral Surgery, PC

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.