Active NPI
Telemedco Inc
- Medical Specialty Clinic/Center
- Miami Beach, FL
National Provider Identifier
1790306603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- TELEMEDCO INC
- Practice address
- 1000 5TH St Ste 200
Miami Beach, FL 33139-6510 - Phone
- (130) 530-5031
- NPI assigned
- May 1, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Altagracia Miranda, MD
- Title
- Co-Owner
- Phone
- (305) 305-0310
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
1000 5TH St Ste 200
Miami Beach, FL 33139-6510
Mailing address
1000 5TH St Ste 200
Miami Beach, FL 33139-6510
Phone (305) 305-0310
Other practice location 1
1000 5th St Ste 200
Miami Beach, FL 33139-6510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
583 City Island Ave
Bronx, NY 10464
Phone (305) 305-0310
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611014400000",
"number": "1790306603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 5TH ST STE 200",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331396510",
"telephone_number": "305-305-0310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 5TH ST STE 200",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331396510",
"telephone_number": "130-530-5031"
}
],
"practiceLocations": [
{
"address_1": "1000 5th St Ste 200",
"address_purpose": "LOCATION",
"city": "Miami Beach",
"state": "FL",
"postal_code": "331396510",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TELEMEDCO INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-01",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A",
"authorized_official_last_name": "MIRANDA",
"authorized_official_first_name": "ALTAGRACIA",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "305-305-0310",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.