Active NPI
Ibrahin Miranda, M.S.
- Counselor
- Miami, FL
National Provider Identifier
1922564772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- IMH10531
- Practice address
- 1562 SW 144TH Ave
Miami, FL 33184-3271 - Phone
- (786) 797-4482
- NPI assigned
- Feb 18, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | IMH10531 | FL | Primary |
Addresses
Primary practice location
1562 SW 144TH Ave
Miami, FL 33184-3271
Mailing address
1562 SW 144TH Ave
Miami, FL 33184-3271
Phone (786) 797-0581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH10531 | FL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550448000000",
"number": "1922564772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1562 SW 144TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331843271",
"telephone_number": "786-797-0581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1562 SW 144TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331843271",
"telephone_number": "786-797-4482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "IBRAHIN",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-18",
"last_updated": "2019-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "IMH10531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.