Organization Active NPI

Ubaldo a Miranda MD PA

  • General Practice Physician
  • Kissimmee, FL
National Provider Identifier
1750966149
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
UBALDO A MIRANDA MD PA
Practice address
3218 Hillsdale LN
Kissimmee, FL 34741-7562
Phone
(407) 350-3525
Fax
(407) 264-6011
NPI assigned
Mar 16, 2021
Last updated
May 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Ubaldo A Miranda, MDNPI 1366916231
Title
President
Phone
(786) 241-3749

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3218 Hillsdale LN
Kissimmee, FL 34741-7562

Mailing address

3218 Hillsdale LN
Kissimmee, FL 34741-7562
Phone (407) 350-3525

Other practice location 1

11981 SW 144th Ct
Miami, FL 33186-8651
Phone (786) 431-1180

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL OfficeAlly Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230412001918 FL Part B Supplier - Clinic/Group Practice 5799150348 Receives reassigned benefits from 1 practitioner
Practice locations: Kissimmee, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

11981 SW 144th Ct
Miami, FL 33186
Phone (786) 431-1180

14271 SW 42nd St
Miami, FL 33175
Phone (305) 207-5350

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1750966149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 HILLSDALE LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417562",
            "telephone_number": "407-350-3525",
            "fax_number": "407-264-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 HILLSDALE LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417562",
            "telephone_number": "407-350-3525",
            "fax_number": "407-264-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11981 SW 144th Ct",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331868651",
            "country_code": "US",
            "telephone_number": "786-431-1180",
            "fax_number": "407-264-6011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UBALDO A MIRANDA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "UBALDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-241-3749",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "OfficeAlly",
            "affiliation": "N",
            "endpointDescription": "OfficeAlly",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3218 Hillsdale Ln",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347417562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.