Mirandahealth Medical Center, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MIRANDAHEALTH MEDICAL CENTER, LLC

Practice address

1722 White Heron Bay Circle
Orlando, FL 32824

Phone

(209) 456-4323

Fax

(866) 670-0132

NPI assigned

Feb 2, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Raydel Miranda, NPNPI 1770856890

Title

Ceo

Phone

(209) 456-4323

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raydel Miranda, ARNP-BC

  • Family Nurse Practitioner
  • Turlock, CA
  • NPI 1770856890
  NPD Authorized official

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1780447631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S ORANGE AVE STE 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013411",
            "telephone_number": "209-456-4323",
            "fax_number": "866-670-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 WHITE HERON BAY CIRCLE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32824",
            "telephone_number": "209-456-4323",
            "fax_number": "866-670-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRANDAHEALTH MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "RAYDEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-456-4323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khris Miranda, RN PMHNP
• Kiara Miranda
• Melissa Miranda, M.A., NCC, LMFT
• Neislamarie Miranda
• Yarixsa Miranda
• Jeanette L Mirande, APRN
• Marie Ann Mirander, MD
• Mirben Speech Language Company LLC
• Mirben Speech Language Company LLC
• Jessica Miree

• Family Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.