Active NPI
Jocelyn Vianney Miranda, DC
- Chiropractor
- Guaynabo, PR
National Provider Identifier
1699700906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 337
- Practice address
- 107 Gonzalez Guisti Ave
Suite 304 Caparra Gallery BLDG
Guaynabo, PR 00966 - Phone
- (787) 619-2700
- Fax
- (787) 998-2830
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 337 | PR | Primary |
Addresses
Primary practice location
107 Gonzalez Guisti Ave
Suite 304 Caparra Gallery BLDG
Guaynabo, PR 00966
Mailing address
17 San Jose
Apto 306 Fontaineblue Village
Guaynabo, PR 00969
Phone (787) 619-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080909000734 | PR | Practitioner - Chiropractic | 5991871311 | Practice locations: Guaynabo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 337 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366070400000",
"number": "1699700906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 SAN JOSE",
"address_2": "APTO 306 FONTAINEBLUE VILLAGE",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-619-2700",
"fax_number": "787-998-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 GONZALEZ GUISTI AVE",
"address_2": "SUITE 304 CAPARRA GALLERY BLDG",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00966",
"telephone_number": "787-619-2700",
"fax_number": "787-998-2830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "JOCELYN",
"middle_name": "VIANNEY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2013-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.