FERMIN C. MIRANDA


Address: 566b Altos Jj Jimenez Street, San Juan, PR 00918
Phone: 7872506010

FERMIN C. MIRANDA (NPI# 1619972403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619972403
Entity Type Individual
Full Name FERMIN C. MIRANDA
Credential M.D.
Practice Address 566b Altos Jj Jimenez Street
San Juan
PR 00918
Practice Telephone 7872506010
Practice Fax Number 7872501116
Mailing Telephone 7872506010
Mailing Fax Number 7872501116
Enumeration Date 2005-06-17
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
03539 PR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PR NARCOTIC LICENSE 02700DM-3 01
PR MEDICAL LICENSE 03539 01
PR DEA# AM5422768 01

Office Location

Street Address 566B ALTOS JJ JIMENEZ STREET
City SAN JUAN
State PR
Zip Code 00918

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619576873 Stryker Puerto Rico Sales LLC Durable Medical Equipment & Medical Supplies Calle Federico Costa 205, Montemar Plaza Suite 103, San Juan, PR 00918 2020-10-20
1255942074 Jose Armando Corzo Gomez Student in an Organized Health Care Education/Training Program 715 Ave Ponde De Leon Stop 37.5, San Juan, PR 00918 2020-08-14
1437768843 Dra Yanira Arce-ayala Internal Medicine 508 Ave Eugenio Maria De Hostos#101, San Juan, PR 00918 2020-07-31
1922621010 Xiomara Resto Student in an Organized Health Care Education/Training Program #550 Calle Sergio Cuevas Bustamante Ave Domenech, San Juan, PR 00918 2020-05-22
1861015299 Carlos Vargas Student in an Organized Health Care Education/Training Program 550 Calle Sergio Cuevas Bustamante Esq. Ave Domenech, San Juan, PR 00918 2020-05-20
1831724665 Flor De Liz Santiago Social Worker Calle Jose Oliver #205, Apto. Th109, San Juan, PR 00918 2020-03-12
1134752306 Plaza Podiatry Center Internal Medicine 525 Ave Roosevelt Torre Plaza Las Americas Suite 612, San Juan, PR 00918 2020-02-17
1356973697 Guillermo Antonio Puebla Robles Student in an Organized Health Care Education/Training Program 155 Art. Hostos Golden Court II, Apt 227, San Juan, PR 00918 2020-02-05
1790316842 Marieli Figueroa-morales Pharmacist Ave Ponce De Leon 715 Pda 37 1/2, Hato Rey, PR 00918 2020-01-28
1518507862 Fabiola Ramos Student in an Organized Health Care Education/Training Program 600 Ave Jesus T Pinero Apt 1702, San Juan, PR 00918 2020-01-14
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Taxonomy Information

Taxonomy Code 2080P0206X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Gastroenterology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366632093 Rosalyn Diaz Pediatrics 684 Calle Merida, Venus Gardens, San Juan, PR 00926-4613 2007-07-30
1861528861 Antonio I. Del Valle-segarra Pediatrics #252 San Jorge St, Suite 503, San Juan, PR 00912 2007-02-26
1932309515 Edward Raymond Cichowicz Pediatrics 497 Ave Emiliano Pol, Suite 585, San Juan, PR 00926-5602 2007-07-20
1821291907 Sheyla Yadira Calderon Pediatrics 29 Calle Washington, Office 303, San Juan, PR 00907-1510 2007-06-07
1578618112 Recinto De Ciencias Medicas Pediatrics Centro Medico De Pr, Edif. Principal Escuela De Medicina Aptdo. 29134, San Juan, PR 00929-0134 2007-01-24
1932139375 David Fernandez Pediatrics University Pediatric Hospital, Department of Pediatrics Office 1-a29 1st Floor, San Juan, PR 00936-5067 2006-07-03
1326042193 Jaime R. Rosado Munoz Pediatrics 735 Ponce De Leon Ave, Ste 818, San Juan, PR 00917-5031 2005-06-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992848907 Centro Medico Del Turabo Inc Pediatrics Hima San Pablo Fajardo, Edif Antiguo Opd Piso 2, Fajardo, PR 00738 2007-02-15
1851300883 Univ Central Del Caribe Pediatrics Avenida Laurel, Esquina Santa Juanita #100, Bayamon, PR 00960 2006-08-07
1821050303 Jose I Russe Pediatrics 252 Convento St, Santurce, PR 00912-3207 2006-04-03
1093791923 Wihelma Echevarria Pediatrics Pmb 509 - 7891, Clinica Las Americas Guaynabo, Guaynabo, PR 00970-2180 2005-12-22
1073599122 Carlos Camacho Landron Pediatrics Edif A Porrata Pila 2431 Ave Las Americas, Ponce, PR 00717 2005-12-21
1851373369 Jose D Santiago Pediatrics Hospital San Lucas, #carr 14, Ponce, PR 00716 2005-11-18
1518962406 Jose Javier Muniz-quinones Pediatrics 55 Calle Dr Basora N, Suite 212, Mayaguez, PR 00680-4810 2005-06-16
1518292143 Chiara Sophia Biaggi Pediatrics 252 Calle San Jorge, San Jorge Children's Hospital, Santurce, PR 00912-3239 2009-10-15
1972651693 Centro De Gastroenterologia Pediatrica Del Oeste Pediatrics 55 Calle Dr Basora N, Office 212, Mayaguez, PR 00680-4810 2007-01-08
1174686398 Priscila Garau Pediatrics 100 Paseo San Pablo, Cadilla Building Suite 203, Bayamon, PR 00961-7019 2006-12-19
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Competitor

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City SAN JUAN
Zip Code 00918

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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