Sports Medicine Caguas, LLC.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

SPORTS MEDICINE CAGUAS, LLC.

Practice address

201 Gautier Benitez Ave
Consolidated Medical Plaza Ste 305
Caguas, PR 00725

Phone

(787) 704-0033

Fax

(787) 704-0090

NPI assigned

Mar 17, 2015

Last updated

Mar 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luis Alexander Miranda, M.D.

Title

Sole Owner

Phone

(787) 306-0118

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luis Alexander Miranda Torres, MD

  • Orthopaedic Surgery Physician
  • Caguas, PR
  • NPI 1437268083
  Medicare reassignment

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1710370630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JUAN C. BORBON STE 67",
            "address_2": "PMB 327",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-704-0033",
            "fax_number": "787-704-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GAUTIER BENITEZ AVE",
            "address_2": "CONSOLIDATED MEDICAL PLAZA STE 305",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-704-0033",
            "fax_number": "787-704-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MEDICINE CAGUAS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "787-306-0118",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Soto
• Antonio Raul Soto, DMD
• Jose J Soto, DDS, MS
• Stephanie Soto
• Ramon K Sotomayor, MD
• SPS Specialty Pharmacy Services Inc
• SPS Specialty Pharmacy Services Inc (SPS Specialty Pharmacy Services)
• SPS Specialty Pharmacy Services,Inc
• Fabio Alejandro Squicimari de Cardenas, MD
• SRC Dental

• Sports Medicine (Orthopaedic Surgery) Physician in Caguas, PR
• Providers in Caguas, PR by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.