Active NPIIndividual providerSole proprietor

Mr. Omar A Miranda, LND

Dietitian, Registered in San Juan, Puerto Rico

NPI Number1003250630
Practice location
Street 1 B-12, Urb. Colinas Verdes, San Juan, PR 00924-5311
Fax
—
Last updated
September 29, 2026

Omar Alexis Miranda is a Dietitian, Registered based in San Juan, PR. Omar Alexis Miranda practices in San Juan, PR and has the professional credentials of LND. The NPI Number for Omar Alexis Miranda is 1003250630 and holds a License No. 1843 (PR). The current practice location address for Omar Alexis Miranda is Street 1 B-12, Urb. Colinas Verdes, San Juan, PR 00924-5311 and can be reached out via phone at 787-752-3928.

Provider Profile Details

NPI Number
1003250630
Provider Name
Omar Alexis Miranda
Credential
LND
Provider Entity Type
Individual
Gender
Male
Address
Street 1 B-12, Urb. Colinas Verdes, San Juan, PR 00924-5311
Phone Number
787-752-3928
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 25, 2013
Last Update Date
September 29, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
Street 1 B-12
Urb. Colinas Verdes
San Juan, PR 00924-5311
Zip
00924-5311
Phone Number
787-752-3928
San Juan, PR 00924Get directions →

Provider Business Mailing Address Details

Address
Street 1 B-12
Urb. Colinas Verdes
San Juan, PR 00924
City
San Juan
State
PR
Zip
00924
Phone Number
787-752-3928

License Information

License Number
1843
License State
PR
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Omar A Miranda, LND?

The NPI number of Mr. Omar A Miranda, LND is 1003250630. It was assigned on April 25, 2013 and is currently active in the NPPES registry.

What is the specialty of Mr. Omar A Miranda, LND?

Mr. Omar A Miranda, LND is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in PR under license number 1843.

Where does Mr. Omar A Miranda, LND practice?

The practice location is Street 1 B-12, Urb. Colinas Verdes, San Juan, PR 00924-5311. The office can be reached at 787-752-3928 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003250630 directly on the NPPES registry website.

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