Luis S. Miranda-Genaro, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME56636 Issued in FL

Practice address

6800 North Dale Mabry Hwy
Suite 198 B
Tampa, FL 33614-3979

Phone

(813) 884-1944

Fax

(813) 884-1955

NPI assigned

Jan 18, 2007

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

Other names 1

• Luis S Miranda Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• North Park Medical Center

  • General Practice Physician
  • Tampa, FL
  • NPI 1962755520
  NPD (past) Authorized official
• Orlando Medical & Rehab Center Inc.

  • Clinic/Center
  • Tampa, FL
  • NPI 1386895472
  NPD (past)
• Sunshine Medical Rehabilitation Center LLC

  • Clinic/Center
  • Tampa, FL
  • NPI 1255491940
  NPD (past)
• Waters Medical Rehab, Inc

  • Clinic/Center
  • Tampa, FL
  • NPI 1124041322
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1881747699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 MAGDALENE FOREST CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182509",
            "telephone_number": "813-960-2271",
            "fax_number": "813-960-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 NORTH DALE MABRY HWY",
            "address_2": "SUITE 198 B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143979",
            "telephone_number": "813-884-1944",
            "fax_number": "813-884-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA-GENARO",
        "first_name": "LUIS",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME56636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "MIRANDA",
            "middle_name": "S",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Miracles in Motion, Inc.
• Miracles Maternity Management of Florida
• Sunamys Miralles
• Nayrobis Miranda Mustelier
• Mirell Miranda Pineiro
• Yamil Miranda-Usua, M.D.
• Betsaida Miranda
• Cassandra Miranda, ARNP
• Claudia Danitza Miranda, M.D.
• Janette Miranda, ARNP

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.