Arminda Rosa Miranda
Individual provider Active NPI Psychologist · San Juan, PR
NPI 1902321946 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1902321946
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 696 (PR)
- Practice address
- 450 De la Constitucion Ave
Apt. 6-D
San Juan, PR 00901 - Phone
- (787) 409-4145
- NPI assigned
- Aug 10, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 696 | PR | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 696 | PR | Yes |
Addresses
Primary practice location
450 De la Constitucion Ave
Apt. 6-D
San Juan, PR 00901
Mailing address
450 Ave de la Constitucion Apt 6D
San Juan, PR 00901-2301
Phone (787) 409-4145
Other providers in San Juan, PR
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.