Individual provider Active NPI

Lilliam Miranda, MD

  • Rheumatology Physician
  • Pembroke Pines, FL
National Provider Identifier
1710975966
Registry record updated Aug 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
16461 Issued in PR
Practice address
12151 Taft St
Pembroke Pines, FL 33026-1957
Phone
(954) 704-1050
Fax
(954) 704-9814
NPI assigned
Oct 12, 2005
Last updated
Aug 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 16461 PR Primary

Addresses

Primary practice location

12151 Taft St
Pembroke Pines, FL 33026-1957

Mailing address

12151 Taft St
Pembroke Pines, FL 33026-1957
Phone (954) 704-1050

Other names 1

  • Lilliam Miranda Claudio Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130808000837 FL Practitioner - Rheumatology 9931166543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Puerto Rico School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Miami Spine and Joint LLCGroup PAC ID 3173898418, 2 clinicians

Practice addresses (Care Compare)

7000 SW 62ND Ave
Suite 201
South Miami, FL 33143-4716
Phone (305) 595-1095

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
93.76
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
South Miami Spine and Joint LLC CurrentSince Jan 1, 2024 Accepting new patients
Los Angeles Medical Health Clinic Past Accepting new patients
Los Angeles Medical Clinic Corp Past Accepting new patients

Locations

7000 SW 62nd Ave
Ste 201
South Miami, FL 33143
Phone (305) 595-1095

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375488000000",
    "number": "1710975966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12151 TAFT ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330261957",
            "telephone_number": "954-704-1050",
            "fax_number": "954-704-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12151 TAFT ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330261957",
            "telephone_number": "954-704-1050",
            "fax_number": "954-704-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "LILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2013-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PR",
            "license": "16461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLIAM",
            "last_name": "MIRANDA CLAUDIO",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.