DR. GRACIANY MIRANDA GRAJALES M.D.
NPI 1174514319
General Practice in Lecanto, FL

Active since November 04, 2005PECOS Enrolled
2804 W MARC KNIGHTON CT, SUITE A, LECANTO, FL 34461(352) 746-8000(352) 746-8001 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Apr 24, 2017 (2 updates tracked since 2017).

About Dr. Graciany Miranda Grajales M.d. NPPES

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

DR. GRACIANY MIRANDA GRAJALES M.D. (NPI 1174514319) is an individual general practice provider in Lecanto, Florida, licensed in Puerto Rico (15543) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174514319
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. GRACIANY MIRANDA GRAJALESCredential: M.D.
Location Address2804 W MARC KNIGHTON CT, SUITE ALecanto, FL 34461-9019
Mailing Address2804 W Marc Knighton Ct, Suite ALecanto, FL 34461-9019 · (352) 746-8000 · Fax (888) 325-3690
Fax(352) 746-8001
Sole ProprietorYes
Enumeration DateNovember 4, 2005
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPI 1174514319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in PR · 15543
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2804 W MARC KNIGHTON CT, Lecanto, FL 34461

Other Identifiers 3

Medicaid7310343PR
Other778245PR · Humana Gold Hmo
OtherDM154559PR · Assmca

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Graciany Miranda Grajales M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2804 W MARC KNIGHTON CT
LECANTO, FL 34461
Internal Medicine
2804 W MARC KNIGHTON CT
LECANTO, FL 34461
Family Medicine
2804 W MARC KNIGHTON CT, SUITE A
LECANTO, FL 34461
Internal Medicine
2804 W MARC KNIGHTON CT, SUITE A
LECANTO, FL 34461
Community/Behavioral Health
2804 W MARC KNIGHTON CT, SUITE B
LECANTO, FL 34461
Dentist
2804 W MARC KNIGHTON CT
LECANTO, FL 34461
Family Medicine
2804 W MARC KNIGHTON CT
LECANTO, FL 34461
Dietitian, Registered
2804 W MARC KNIGHTON CT
LECANTO, FL 34461

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 Graciany Miranda Grajales's NPI number?

The NPI number for Graciany Miranda Grajales is 1174514319. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Graciany Miranda Grajales located?

Graciany Miranda Grajales practices at 2804 W Marc Knighton Ct Suite A, Lecanto, FL 34461. The listed phone number is (352) 746-8000.

What is Graciany Miranda Grajales's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Graciany Miranda Grajales enrolled in Medicare?

Yes. Graciany Miranda Grajales is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Graciany Miranda Grajales was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.