Carlos J. Miranda, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

8501 Issued in PR

Practice address

Bayamon Medical Plaza Suite 503
Bayamon, PR 00959

Phone

(787) 787-9315

Fax

(787) 785-0685

NPI assigned

Aug 29, 2006

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

• Dr. Carlos J Miranda Former name

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

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.

• KCM Service, PSC

  • Internal Medicine Physician
  • Bayamon, PR
  • NPI 1376065037
  Medicare reassignment NPD Authorized official
• Eastern Cardiovascular Diagnostic, Inc.

  • Diagnostic Radiology Physician
  • Morovis, PR
  • NPI 1326015876
  NPD (past)
• Quality Imaging Medical Diagnostic, Inc.

  • Diagnostic Radiology Physician
  • Toa Baja, PR
  • NPI 1811964422
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902914880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2669",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009602669",
            "telephone_number": "787-787-9315",
            "fax_number": "787-785-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL PLAZA SUITE 503",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-787-9315",
            "fax_number": "787-785-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "CARLOS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "8501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "MIRANDA",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carolina Miranda Torres, MD
• Mario Cesar Miranda Torres, M.D.
• Anisha Miranda, MD
• Briseida Miranda, MT
• Camila D Miranda
• Diana Miranda, BSN
• Glorimar Miranda, PH.D.
• Jose Ramon Miranda, M.D.
• Luis Enrique Miranda, M.R.C.
• Marieli Miranda

• Internal Medicine Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.