Fernando E Miralles Alonso, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

18063 Issued in PR

Practice address

284 Calle Coll Y Toste
Urb Baldrich
San Juan, PR 00918-4016

Phone

(787) 217-6665

Fax

(787) 782-7060

NPI assigned

Oct 14, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1740590538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 CALLE COLL Y TOSTE",
            "address_2": "URB BALDRICH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184016",
            "telephone_number": "787-217-6665",
            "fax_number": "787-782-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 CALLE COLL Y TOSTE",
            "address_2": "URB BALDRICH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184016",
            "telephone_number": "787-217-6665",
            "fax_number": "787-782-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRALLES ALONSO",
        "first_name": "FERNANDO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "18063",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Minimally Invasive Urology Center, PSC
• Miquiropracticopr LLC (Chiropractic Health Center)
• Cecilia Joselina Mir, M.D.
• Brenda Mirabal, M.D.
• Ozema M. Mirabal, M.D.
• Eduardo Miralles, M.D.
• Nicole Marie Miranda Acevedo
• Miguel Alejandro Miranda Camacho, PHARM.D.
• Hector S Miranda Delgado, MD
• Luzmaria Miranda Galarza

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.