Individual provider Active NPI

Manuel N Miranda-Ferrer, M.D.

  • Ophthalmology Physician
  • Hato Rey, PR
National Provider Identifier
1770612822
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7190 Issued in PR
Practice address
735 Ave Ponce de Leon
Suite 202 Torre Medica Auxilio Mutuo
Hato Rey, PR 00917-5022
Phone
(787) 751-7010
Fax
(787) 754-3238
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 7190 PR Primary

Addresses

Primary practice location

735 Ave Ponce de Leon
Suite 202 Torre Medica Auxilio Mutuo
Hato Rey, PR 00917-5022

Mailing address

PO Box 366204
San Juan, PR 00936-6204
Phone (787) 751-7010

Other identifiers 9

IdentifierTypeStateIssuer
PE 2358OtherPRPALIC INS ID
0028911OtherPRAUXILIO PLATINO ID
28911OtherPRTRIPLE S INS ID
9360087OtherPRHUMANA INS ID
67973OtherPRCRUZ AZUL INS ID
9360087OtherPRHUMANA GOLD PLUS ID
1913OtherPRPREF MEDICARE CHOICE ID
213127OtherPRPREFERRED HEALTH ID
28911OtherPRMEDICARE OPTIMO ID

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110502000265 PR Practitioner - Ophthalmology 5496930778 Practice locations: Hato Rey, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

735 Ave Ponce de Leon
Suite 202
Hato Rey, PR 00917-5024
Phone (787) 751-7010

735 Ponce de Leon Ave
Suite 202
Hato Rey, PR 00917-5024

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery53

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1770612822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366204",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009366204",
            "telephone_number": "787-751-7010",
            "fax_number": "787-754-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "SUITE 202 TORRE MEDICA AUXILIO MUTUO",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-751-7010",
            "fax_number": "787-754-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA-FERRER",
        "first_name": "MANUEL",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "7190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC INS ID",
            "identifier": "PE 2358",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUXILIO PLATINO ID",
            "identifier": "0028911",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S INS ID",
            "identifier": "28911",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INS ID",
            "identifier": "9360087",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL INS ID",
            "identifier": "67973",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GOLD PLUS ID",
            "identifier": "9360087",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREF MEDICARE CHOICE ID",
            "identifier": "1913",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH ID",
            "identifier": "213127",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OPTIMO ID",
            "identifier": "28911",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

Verify at the official NPI Registry.