Individual provider Active NPI

Gerardo Enrique Miranda-Comas, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • New York, NY
National Provider Identifier
1942494414
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
18259 Issued in PR
Practice address
1St Avenue at 16TH Street
New York, NY 10003
Phone
(212) 420-2835
NPI assigned
Aug 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 280978 NY
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 18259 PR Primary

Addresses

Primary practice location

1St Avenue at 16TH Street
New York, NY 10003

Mailing address

1351 Ave Magdalena Apt 10B
San Juan, PR 00907-2017
Phone (787) 922-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121113000079 PR Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 2860643269 Reassigns benefits to 2 organizations
I20151002000999 NY Practitioner - Physical Medicine and Rehabilitation 2860643269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Sports and Pain Interventions, PSCGroup PAC ID 6406165802, 11 clinicians

Practice addresses (Care Compare)

Urb Condado Moderno
M 13
Caguas, PR 00725
Phone (787) 745-4355

Villa del Rey 2Da Sec Ave Luis Munoz
Esq Carlo Magno 2F6
Caguas, PR 00725
Phone (787) 704-0075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18259PRMDSports Medicine (Physical Medicine & Rehabilitation) Physician
280978NYMDMedical Specialty Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Sports and Pain Interventions PSC CurrentSince Feb 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Xcel Rehabilitation Past Accepting new patients
Instituto de Rehabilitacion del Caribe, C.S.P. Sports Medicine Past Accepting new patients

Locations

5 E 98th St
Fl 6
New York, NY 10029
Phone (212) 241-2221

10 Union Sq E
#5P
New York, NY 10003
Phone (212) 844-8680

150 E 42nd St
New York, NY 10017
Phone (212) 661-8139

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

M13 Calle 18
Caguas, PR 00725
Phone (787) 745-4355

117 Calle Font Martelo W
Humacao, PR 00791
Phone (787) 460-4671

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1942494414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 AVE MAGDALENA APT 10B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072017",
            "telephone_number": "787-922-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST AVENUE AT 16TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-420-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA-COMAS",
        "first_name": "GERARDO",
        "middle_name": "ENRIQUE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "280978",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "PR",
            "license": "18259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.