Coralys Del Mar Miranda-Maldonado

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1330 Issued in PR

Practice address

144 Calle Rimac
Barceloneta, PR 00617-9453

Phone

(787) 450-3756

NPI assigned

May 20, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1831938927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 CALLE RIMAC",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006179453",
            "telephone_number": "787-970-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 CALLE RIMAC",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006179453",
            "telephone_number": "787-450-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA-MALDONADO",
        "first_name": "CORALYS",
        "middle_name": "DEL MAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "1330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Enrique Melendez-Luciano, BS
• Fernando Melendez
• Abigail Mendez Rios
• Sarai Mendez, B.S. SCIENCE
• Sujheil M Mendez, PHL
• Sulivette Mojica
• Amarillis Molina-Maysonet, MA PSIC.
• Daniel Emilio Montanez, PSYD
• Montemar Clinical Labs., Inc.
• Veronica Morales Colon

• Optician in Barceloneta, PR
• Providers in Barceloneta, PR by specialty
• Optician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.