Active NPIIndividual providerSole proprietor

Mrs. Stephany M O Miranda Sr., PSYD

Psychologist, Clinical in San Juan, Puerto Rico

NPI Number1861229684
Practice location
735 Ave Ponce De Leon, Torre De Auxilio Mutuo Ste 410, San Juan, PR 00917-5025
Fax
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Last updated
March 4, 2025

Stephany M Ortiz Miranda is a Psychologist, Clinical based in San Juan, PR. Stephany M Ortiz Miranda practices in San Juan, PR and has the professional credentials of PSYD. The NPI Number for Stephany M Ortiz Miranda is 1861229684 and holds a License No. 15228 (PR). The current practice location address for Stephany M Ortiz Miranda is 735 Ave Ponce De Leon, Torre De Auxilio Mutuo Ste 410, San Juan, PR 00917-5025 and can be reached out via phone at 787-704-0705.

Provider Profile Details

NPI Number
1861229684
Provider Name
Stephany M Ortiz Miranda
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
735 Ave Ponce De Leon, Torre De Auxilio Mutuo Ste 410, San Juan, PR 00917-5025
Phone Number
787-704-0705
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 16, 2024
Last Update Date
March 4, 2025
Certification Date
February 28, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
735 Ave Ponce De Leon
Torre De Auxilio Mutuo Ste 410
San Juan, PR 00917-5025
Zip
00917-5025
Phone Number
787-704-0705
San Juan, PR 00917Get directions →

Provider Business Mailing Address Details

Address
Concordia Gradens I
12-C Calle Livorna
San Juan, PR 00924
City
San Juan
State
PR
Zip
00924
Phone Number
787-702-2434

License Information

License Number (1)
15228
License State (1)
PR
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
8225
License State (2)
PR
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · 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 Mrs. Stephany M O Miranda Sr., PSYD?

The NPI number of Mrs. Stephany M O Miranda Sr., PSYD is 1861229684. It was assigned on September 16, 2024 and is currently active in the NPPES registry.

What is the specialty of Mrs. Stephany M O Miranda Sr., PSYD?

Mrs. Stephany M O Miranda Sr., PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 15228.

Where does Mrs. Stephany M O Miranda Sr., PSYD practice?

The practice location is 735 Ave Ponce De Leon, Torre De Auxilio Mutuo Ste 410, San Juan, PR 00917-5025. The office can be reached at 787-704-0705 (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 1861229684 directly on the NPPES registry website.

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