Active NPI
Ricardo Miranda, M.D.
- Internal Medicine Physician
- Rio Piedras, PR
National Provider Identifier
1770700254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5976
- Practice address
- Orquidea #42 Santa Maria
Rio Piedras, PR 00927 - Phone
- (787) 763-2260
- Fax
- (787) 763-2260
- NPI assigned
- Apr 19, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5976 | PR | Primary |
Addresses
Primary practice location
Orquidea #42 Santa Maria
Rio Piedras, PR 00927
Mailing address
Torre Medica Auxilio Mutuo 735 Ponce de Leon Ave
Suite 804
Hato Rey, PR 00917
Phone (787) 763-2260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5976 | Other | PR | MEDICAL LICENCE |
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 |
|---|---|---|---|---|
| I20080930000132 | PR | Practitioner - Internal Medicine | 7517034739 | Practice locations: Hato Rey, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Torre Medica Auxilio Mutuo
Ave Ponce de Leon 735 Suite 804
Hato Rey, PR 00917-0001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5976 | PR | MD | Pharmacy Technician |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1265493001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1770700254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TORRE MEDICA AUXILIO MUTUO 735 PONCE DE LEON AVE",
"address_2": "SUITE 804",
"city": "HATO REY",
"state": "PR",
"postal_code": "00917",
"telephone_number": "787-763-2260",
"fax_number": "787-763-2260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ORQUIDEA #42 SANTA MARIA",
"city": "RIO PIEDRAS",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-763-2260",
"fax_number": "787-763-2260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "RICARDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "5976",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENCE",
"identifier": "5976",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rio Piedras, PR
- Metropolitan Otorhinolaryngology Group, CSP
- Metropolitan Otorinolaringology Group
- Metropolitan Thoracic & Cardiovascular Service, P.S.C.
- Metropolitan Thoracic & Cardiovascular Services, C.S.P.
- Millennium Institute for Advance Nursing Care Inc
- Gamaliel Monge Ruiz, MD, MPH
- Francisco J Monserrate Rodriguez, M.D.
- Ileana Maria Monserrate, PSY.D
- Edwin J Montalvo Rivera, MD
- Hector Montanez
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.