Active NPIIndividual providerSole proprietor

Cristaly Emanuelli Miranda, MD

Speech-Language Pathologist, in Ponce, Puerto Rico

NPI Number1578387866
Practice location
909 Ave Tito Castro, Ste 721 La Torre Medica San Lucas, Ponce, PR 00716-4722
Fax
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Last updated
October 1, 2025

Cristaly Emanuelli Miranda is a Speech-Language Pathologist, based in Ponce, PR. Cristaly Emanuelli Miranda practices in Ponce, PR and has the professional credentials of MD. The NPI Number for Cristaly Emanuelli Miranda is 1578387866 and holds a License No. 004626 (PR). The current practice location address for Cristaly Emanuelli Miranda is 909 Ave Tito Castro, Ste 721 La Torre Medica San Lucas, Ponce, PR 00716-4722 and can be reached out via phone at 787-651-0312.

Provider Profile Details

NPI Number
1578387866
Provider Name
Cristaly Emanuelli Miranda
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
909 Ave Tito Castro, Ste 721 La Torre Medica San Lucas, Ponce, PR 00716-4722
Phone Number
787-651-0312
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Other Names
Cristaly Emanuelli Miranda (Professional Name)
Provider Enumeration Date
November 13, 2024
Last Update Date
October 1, 2025
Certification Date
October 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
909 Ave Tito Castro
Ste 721 La Torre Medica San Lucas
Ponce, PR 00716-4722
City
Ponce
Zip
00716-4722
Phone Number
787-651-0312
Ponce, PR 00716Get directions →

Provider Business Mailing Address Details

Address
909 Ave Tito Castro
Ste 721 La Torre Medica San Lucas
Ponce, PR 00716-4722
City
Ponce
State
PR
Zip
00716-4722
Phone Number
787-651-0312

License Information

License Number
004626
License State
PR
Taxonomy
Speech-Language Pathologist, · 235Z00000X · 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 Cristaly Emanuelli Miranda, MD?

The NPI number of Cristaly Emanuelli Miranda, MD is 1578387866. It was assigned on November 13, 2024 and is currently active in the NPPES registry.

What is the specialty of Cristaly Emanuelli Miranda, MD?

Cristaly Emanuelli Miranda, MD is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in PR under license number 004626.

Where does Cristaly Emanuelli Miranda, MD practice?

The practice location is 909 Ave Tito Castro, Ste 721 La Torre Medica San Lucas, Ponce, PR 00716-4722. The office can be reached at 787-651-0312 (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 1578387866 directly on the NPPES registry website.

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