Mirabilem, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MIRABILEM, LLC

Practice address

2727 Kirby Drive- 10B
Houston, TX 77098

Phone

(832) 699-0652

Fax

(410) 847-2056

NPI assigned

Feb 26, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Caridi, M.D.

Title

Managing Partner

Phone

(832) 699-0652

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1932793247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 KIRBY DRIVE- 10B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77098",
            "telephone_number": "832-699-0652",
            "fax_number": "410-847-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 KIRBY DRIVE- 10B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77098",
            "telephone_number": "832-699-0652",
            "fax_number": "410-847-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRABILEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "CARIDI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "832-699-0652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Mira
• Ali Sina Mirab, MD
• Alicia Aileen Mirabelli, LCSW
• Batool Mirabi, MD
• Mohsen Mirabi, M.D.
• Victoria Mary Mirabueno, APRN, CRNA
• Miracal'S Place LLC
• Miracle Education System
• Miracle EMS LLC
• Miracle Hands Dental

• Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.