Roberto Miranda-Quesda, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11012900 Issued in FL

Practice address

5129 S Lakeland Dr Ste 2
Lakeland, FL 33813-2599

Phone

(863) 232-4323

NPI assigned

Sep 14, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1952071854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5129 S LAKELAND DR STE 2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5129 S LAKELAND DR STE 2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132599",
            "telephone_number": "863-232-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA-QUESDA",
        "first_name": "ROBERTO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11012900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CMCWECARE.COM",
            "affiliation": "Y",
            "endpointDescription": "CAPERNAUM",
            "affiliationName": "Capernaum Medical Center for Kids PLLC",
            "address_1": "5129 S Lakeland Dr Ste 2",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338132599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Dodd Minerella, OD
• Mark Harold Mines, MD
• Jasmaine Minnis
• Cheryl Adele Minozzi, PHARMD
• Zuylen De la Caridad Miranda Gonzalez
• A'Lyse Mellys Miranda
• Diane Miranda
• Max Miranda, PA
• Mis Provider Network LLC
• Misada Inc (Pearle Vision)

• Family Nurse Practitioner in Lakeland, FL
• Providers in Lakeland, 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 Sep 14, 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.