Individual provider Active NPI

Damaris Acosta-Miranda, MD

  • Pulmonary Disease Physician
  • San Juan, PR
National Provider Identifier
1952536237
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
18568 Issued in PR
Practice address
100 Grand Paseo Blvd
Suite 106-a
San Juan, PR 00926-5905
Phone
(787) 755-4245
Fax
(787) 755-4563
NPI assigned
May 15, 2009
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18568 PR
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 18568 PR
Pulmonary Disease Physician 207RP1001X 18568 PR Primary

Addresses

Primary practice location

100 Grand Paseo Blvd
Suite 106-a
San Juan, PR 00926-5905

Mailing address

PO Box 70344
PMB 310
San Juan, PR 00936-8344
Phone (787) 755-4245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151030002086 PR Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 3577873744 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR; San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University Central del Caribe Escuela de Medicina, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

B5 Calle Santa Cruz
Bayamon, PR 00961-6902
Phone (787) 930-4845

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Jul 1, 2015 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jul 1, 2015 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1952536237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70344",
            "address_2": "PMB 310",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368344",
            "telephone_number": "787-755-4245",
            "fax_number": "787-755-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRAND PASEO BLVD",
            "address_2": "SUITE 106-A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265905",
            "telephone_number": "787-755-4245",
            "fax_number": "787-755-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA-MIRANDA",
        "first_name": "DAMARIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-15",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "18568",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PR",
            "license": "18568",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "18568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.