Individual provider Active NPI

Esmeralda Miranda Lama, MD

  • Pediatric Rehabilitation Medicine Physician
  • San Juan, PR
National Provider Identifier
1861426322
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
012110 Issued in PR
Practice address
Torre Plaza Las Americas Ste 614
525 Ave FD Roosevelt
San Juan, PR 00918-8056
Phone
(787) 767-7700
Fax
(787) 767-7700
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine Physician 2081P0010X 012110 PR Primary

Addresses

Primary practice location

Torre Plaza Las Americas Ste 614
525 Ave FD Roosevelt
San Juan, PR 00918-8056

Mailing address

La Torre de Plaza Las Americas Ste 614
525 Ave FD Roosevelt
San Juan, PR 00918-8056
Phone (787) 767-7700

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120307000250 PR Practitioner - Physical Medicine and RehabilitationPractitioner - Pediatric MedicinePractitioner - Sports Medicine 7911166178 Practice locations: San Juan, PR; Hato Rey, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pediatric Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

525 Ave FD Roosevelt
San Juan, PR 00918-8001
Phone (787) 767-7700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Esmeralda Miranda Lama CurrentSince Apr 30, 2023 Accepting new patients
Aos Peds Rehab, LLC Past Accepting new patients
Sociedad de Educacion Y Rehabilitacion Ser de Puerto Rico Inc PastSince Oct 1, 2020 Accepting new patients

Locations

525 Ave Fd Roosevelt
Ofc 614
San Juan, PR 00918
Phone (787) 767-7700

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1861426322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LA TORRE DE PLAZA LAS AMERICAS STE 614",
            "address_2": "525 AVE FD ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009188056",
            "telephone_number": "787-767-7700",
            "fax_number": "787-767-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE PLAZA LAS AMERICAS STE 614",
            "address_2": "525 AVE FD ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009188056",
            "telephone_number": "787-767-7700",
            "fax_number": "787-767-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA LAMA",
        "first_name": "ESMERALDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "PR",
            "license": "012110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.