Mirna Socorro Amaro Medina, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

10297 Issued in PR

Practice address

893 Calle Eider
San Juan, PR 00924-2371

Phone

(787) 768-6996

Fax

(787) 768-6996

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Figueroa Amaro Medical Group PSC

  • Internal Medicine Physician
  • San Juan, PR
  • NPI 1508396243

  Multi-Specialty

  Medicare reassignment NPD
• Eider Medical Group PSC

  • Clinic/Center
  • San Juan, PR
  • NPI 1790994218
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1780714873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29454",
            "address_2": "65TH INFANTRY STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290454",
            "telephone_number": "787-768-6996",
            "fax_number": "787-768-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 CALLE EIDER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009242371",
            "telephone_number": "787-768-6996",
            "fax_number": "787-768-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMARO MEDINA",
        "first_name": "MIRNA",
        "middle_name": "SOCORRO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "10297",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "10297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanecer Dental Clinic and Lab
• Natalie Amaral Nieves
• Valerie Amaral Nieves
• Carmen E Amaral, MD
• Myriam Amaro de Jesus, MD
• Amarilys Amaro, MS,
• Ambulancias de Emergencias Inc (a.E.I.)
• Ambulancias Privadas Inc.
• Amelia Medical Office
• American Emergency Ambulance Inc

• Pediatrics Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.