Active NPI
Manuel N Miranda-Ferrer, M.D.
- Ophthalmology Physician
- Hato Rey, PR
National Provider Identifier
1770612822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 7190
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PE 2358 | Other | PR | PALIC INS ID |
| 0028911 | Other | PR | AUXILIO PLATINO ID |
| 28911 | Other | PR | TRIPLE S INS ID |
| 9360087 | Other | PR | HUMANA INS ID |
| 67973 | Other | PR | CRUZ AZUL INS ID |
| 9360087 | Other | PR | HUMANA GOLD PLUS ID |
| 1913 | Other | PR | PREF MEDICARE CHOICE ID |
| 213127 | Other | PR | PREFERRED HEALTH ID |
| 28911 | Other | PR | MEDICARE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 53 |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.