MIRACLE MEDICAL CENTER CORP
NPI 1144966680
Psychiatry & Neurology - Psychiatry in Miami, FL

Active since May 09, 2022
15668 SW 72ND ST, MIAMI, FL 33193(786) 697-1150 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Miracle Medical Center Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRACLE MEDICAL CENTER CORP (NPI 1144966680) is a healthcare organization registered as a psychiatry in Miami, Florida and active in the NPI registry since May 2022. The organization lists Brisaida Duarte, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144966680
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameMIRACLE MEDICAL CENTER CORP
Location Address15668 SW 72ND STMiami, FL 33193-1923
Mailing Address15668 Sw 72nd StMiami, FL 33193-1923 · (786) 697-1150
Organization SubpartNo
Authorized OfficialBrisaida DuarteCeo · (786) 315-6818
Enumeration DateMay 9, 2022
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1144966680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedFamily MedicineTaxonomy 207Q00000X
15668 SW 72ND ST, Miami, FL 33193

Other Identifiers 1

Other13077FL · Ahca

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miracle Medical Center Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Miracle Medical Center Corp, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1811544331
766 E 10TH ST
Hialeah, FL 33010
(786) 398-1326
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1134790025
4218 E 4TH AVE
Hialeah, FL 33013
(305) 266-2929
✔ PECOS15 mi
Pathology
NPI 1235165051
3920 SW 186TH WAY
Miramar, FL 33029
(321) 695-9472
✔ PECOS✔ Accepts Medicare19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miracle Medical Center Corp's NPI number?

The NPI number for Miracle Medical Center Corp is 1144966680. It was assigned to this organization in the NPPES registry on May 9, 2022.

Where is Miracle Medical Center Corp located?

Miracle Medical Center Corp is located at 15668 SW 72nd St, Miami, FL 33193. The listed phone number is (786) 697-1150.

What is Miracle Medical Center Corp's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Miracle Medical Center Corp enrolled in Medicare?

Yes. Miracle Medical Center Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Miracle Medical Center Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Miracle Medical Center Corp, in Nurse Practitioner and Pathology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Miracle Medical Center Corp was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.