Mairelys Miranda Jimenez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11031888 Issued in FL

Practice address

10425 SW 154TH CT Apt 4
Miami, FL 33196-2747

Phone

(786) 712-8991

NPI assigned

Apr 20, 2024

Sex

Female

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 FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ajandnd CorpGroup PAC ID 2567873524, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aj&ND Corp

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1275019515
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1713571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1922853282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 SW 154TH CT APT 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962747",
            "telephone_number": "786-712-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 SW 154TH CT APT 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962747",
            "telephone_number": "786-712-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA JIMENEZ",
        "first_name": "MAIRELYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-20",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11031888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Miranda Cantellops, MD
• Yeni D Miranda de la Hoz
• Aylen Miranda Fernandez, BEHAVIOR TECHNICIAN
• Dailena Miranda Garcia
• Lorena Miranda Gonzalez
• Lorena Miranda Lusbel
• Madeline Miranda Morales, RBT
• Lourdes M Miranda Olivera
• Yirka Yadira Miranda Rodriguez
• Yamisela Miranda Roque, RBT

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.