Individual provider Active NPI

Maria del Mar Colon Miranda, MD

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1831754555
Registry record updated Jan 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME174384 Issued in FL
Practice address
14505 Bruce B Downs Blvd
Tampa, FL 33613-2789
Phone
(305) 504-0690
NPI assigned
May 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22163 PR
General Practice Physician 208D00000X ME174384 FL Primary

Addresses

Primary practice location

14505 Bruce B Downs Blvd
Tampa, FL 33613-2789

Mailing address

400 N Ashley Dr Ste 1900
Tampa, FL 33602-4311
Phone (305) 504-0690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20210528001986 FL Practitioner - General Practice 9739588401 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME174384FLMDGeneral Practice Physician
22163PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Home Alliance LLC CurrentSince Aug 15, 2021 Accepting new patients
L' Alma MD, LLC General Practice CurrentSince Jan 10, 2026 Accepting new patients
Medical Home Alliance LLC Past Accepting new patients

Locations

684 State Road 60 W
Lake Wales, FL 33853
Phone (863) 949-4668

6675 Westwood Blvd
Ste 475
Orlando, FL 32821
Phone (407) 845-0384

400 N Ashley Dr
Ste 1900
Tampa, FL 33602
Phone (813) 775-2200

14505 Bruce B Downs Blvd
Tampa, FL 33613
Phone (305) 504-0690

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFAJDD/Endpoint/EFAJDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFAJDD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767398400000",
    "number": "1831754555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N ASHLEY DR STE 1900",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024311",
            "telephone_number": "305-504-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14505 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132789",
            "telephone_number": "305-504-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON MIRANDA",
        "first_name": "MARIA DEL MAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22163",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME174384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.