Aldo L Miranda-Collazo, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1469 Issued in PR

Practice address

249 Calle Las Marias
Hyde Park
San Juan, PR 00927-4224

Phone

(787) 751-5090

Fax

(787) 751-5090

NPI assigned

Jul 2, 2005

Last updated

Jan 31, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1120262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1811994072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 CALLE LAS MARIAS",
            "address_2": "HYDE PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274224",
            "telephone_number": "787-751-5090",
            "fax_number": "787-751-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 CALLE LAS MARIAS",
            "address_2": "HYDE PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274224",
            "telephone_number": "787-751-5090",
            "fax_number": "787-751-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA-COLLAZO",
        "first_name": "ALDO",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-02",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina M Miranda Santiago
• Roberto Miranda Soto
• Glenda Michelle Miranda Tirado, M. D.
• Yasiris Miranda Torres
• Addyth G Miranda Valle
• Alfonso Miranda-Garcia, CRNA
• Veronica Miranda-Lopez
• Jane Miranda-Soto, RN
• Ana B. Miranda, MD, MPH
• Antonio Miranda, M.D.

• General Practice Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.