MEDICARE: HEALTHCARE BY MIRANDA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1871449918
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE BY MIRANDA LLC

Provider Business Mailing Address
First Line	:	7867 W 36TH AVE UNIT 104
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-7530
Country	:	US
Telephone Number	:	786-704-2068
Fax Number	:

Provider Business Practice Location Address
First Line	:	7867 W 36TH AVE UNIT 104
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-7530
Country	:	US
Telephone Number	:	786-704-2068
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NAYVIS MIRANDA AGUERO
Credential	:	APRN
Telephone Number	:	786-704-2068

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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