Provider Type Icon

DR. ENID PAGAN MIRANDA M.D. NPI 1740285626


NPI Information

NPI: 1740285626
Provider Name: DR. ENID PAGAN MIRANDA, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
MARGINAL MAGNOLIA GARDENS A35 CALLE 1
MAGNOLIA GARDENS
BAYAMON, PR
ZIP 00956
Phone: (787) 785-2870
Get Directions

DR. Enid Pagan Miranda, M.D. is a general practice in Bayamon, PR with 43 years of experience. DR. Enid Pagan Miranda, M.D. NPI is 1740285626. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

MARGINAL MAGNOLIA GARDENS A35 CALLE 1
MAGNOLIA GARDENS
BAYAMON, PR
ZIP 00956
Phone: (787) 785-2870
Fax: (787) 288-4152

The NPI 1740285626 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/16/2005 and was last updated on 11/14/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice10041PUERTO RICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F18832MEDICARE UPINPUERTO RICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.