CAROLINA MIRANDA TORRES MD
NPI 1255627675
Pediatrics - Pediatric Pulmonology in Bayamon, PR

NPI Status: Active since June 23, 2011

Contact Information

1845 BAYAMON MEDICAL PLZ
STE 803
BAYAMON, PR
ZIP 00959
Phone: (787) 474-8282

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  • Individual
  • Female
  • Pediatrics
  • Pediatric Pulmonology
  • Accepts Insurance
  • PECOS Enrolled

About CAROLINA MIRANDA TORRES

This page provides the complete NPI Profile along with additional information for Carolina Miranda Torres, a pediatrician established in Bayamon, Puerto Rico with a medical specialization in Pediatrics, focusing in pediatric pulmonology . The healthcare provider is registered in the NPI registry with number 1255627675 assigned on June 2011. The practitioner's primary taxonomy code is 2080P0214X with license number 18793 (PR). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1255627675
Provider Name
CAROLINA MIRANDA TORRES MD
Gender
Female
Entity Type
Individual
Location Address
1845 BAYAMON MEDICAL PLZ STE 803 BAYAMON, PR 00959
Location Phone
(787) 474-8282
Mailing Address
2900 CORPORATE WAY DOOR D MIRAMAR, FL 33025
Mailing Phone
(954) 276-5685
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
06-23-2011
Last Update Date
12-14-2023
Code Navigator

A pediatrician like Carolina Miranda Torres is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

  • 715 AVE PONCE DE LEON HOSPITAL AUXILIO MUTUO CLINICAS SUB ESPECIALISTAS PEDIA
    SAN JUAN, PR 00917
    (787) 430-1031
  • 112 CALLE HERNANDEZ CARRION MANATI MEDICAL CENTER CLINICAS SUB ESPECIALISTAS PEDIAT
    MANAI, PR 00674
    (787) 621-3700

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Pulmonology

Taxonomy Code
2080P0214X
Type
Allopathic & Osteopathic Physicians
License No.
18793
License State
PR
Taxonomy Description
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Signature + No Referrals - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Carolina Miranda Torres is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255627675, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 1 + 2 + 2 + 1 + 4 + 6 + 1 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1255627675.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255627675, enumerated as an "individual" on June 23, 2011.

The provider is located at 1845 BAYAMON MEDICAL PLZ STE 803 BAYAMON, PR 00959 and the phone number is (787) 474-8282.

Pediatrics with taxonomy code 2080P0214X and a focus in Pediatric Pulmonology.

The provider might be accepting Accepts: AmeriHealth Caritas Next. Please consult your insurance carrier or call the provider to verify.