Fernando R Miranda-Ramirez, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1431 Issued in PR

Practice address

157 Calle Munoz Rivera S
San Lorenzo, PR 00754-4209

Phone

(787) 736-6886

Fax

(787) 715-3312

NPI assigned

Feb 4, 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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1912045451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CALLE KINGS CT",
            "address_2": "APT. 7A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111119",
            "telephone_number": "787-736-6886",
            "fax_number": "787-715-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 CALLE MUNOZ RIVERA S",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007544209",
            "telephone_number": "787-736-6886",
            "fax_number": "787-715-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA-RAMIREZ",
        "first_name": "FERNANDO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-04",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernesto Medina de Jesus, MD
• Angel Luis Medina Orta
• Raphael Melendez, P.T.
• MF Dynamic Billing Corp
• Ruvva Milian, NL, CNC
• MMR Supermarket Inc
• Ivette Margarita Moctezuma, SLP
• Annette A Montalvo-Nadal, O.D.
• Fabiola Montes, RDN, LDN
• Diana Ines Morales Torres, RN

• General Practice Dentistry in San Lorenzo, PR
• Providers in San Lorenzo, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.