Veronica Miranda-Lopez
Individual provider Active NPI Psychiatry Physician · San Juan, PR
NPI 1831479914 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1831479914
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 18775 (PR)
- Practice address
- 10 Calle Casia
Bo. Monacillos VA Caribbean Healthcare System
San Juan, PR 00921 - Phone
- (787) 641-7582
- NPI assigned
- Aug 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of Puerto Rico School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Inspira Behavioral Care Corp
Practice addresses (Care Compare)
202 Calle Gautier Benitez
Caguas, PR 00725-5512
Phone (787) 704-0705
435 Ave Hostos
San Juan, PR 00918-3014
Phone (787) 704-0705
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240612000288 | PR | Practitioner - Psychiatry | 1557632957 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18775 | PR | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspira Behavioral Care Corp. | Current | Accepting new patients | |
| Inspira Behavioral Care Corp. | Current |
Accepting new patients | |
| Mind and Body LLC | Psychosomatic Medicine | Current | Accepting new patients |
| Inspira Behavioral Care Corp | Current |
Accepting new patients | |
| Inspira Psychiatric Services PSC | Past | Accepting new patients | |
| Inspira Behavioral Care Corp. | Past | Accepting new patients | |
| Inspira Behavioral Care Corp. | Past | Accepting new patients | |
| Inspira Behavioral Care Corp. | Past | Accepting new patients | |
| Inspira Behavioral Care Corp. | Past | Accepting new patients | |
| Inspira Behavioral Care Corp. | Past | Accepting new patients |
Locations
431 Ave Hostos
San Juan, PR 00918
Phone 7877040705 ext. 347
55 Calle Comercio
Yauco, PR 00698
Phone (787) 267-1810
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | 18775 | PR | |
| Psychiatry Physician | 2084P0800X | 18775 | PR | Yes |
Addresses
Primary practice location
10 Calle Casia
Bo. Monacillos VA Caribbean Healthcare System
San Juan, PR 00921
Mailing address
10 Calle Casia
Barrio Monacillos
San Juan, PR 00921
Phone (787) 754-0101
Other providers in San Juan, PR
- Glenda Michelle Miranda Tirado
- Yasiris Miranda Torres
- Addyth G Miranda Valle
- Aldo L Miranda-Collazo
- Alfonso Miranda-Garcia
- Jane Miranda-Soto
- Ana B. Miranda
- Antonio Miranda
- Arminda Rosa Miranda
- Carmen Miranda
All providers in San Juan, PR · Psychiatry Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.