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MRS. STEPHANY M ORTIZ MIRANDA SR. PSYD
NPI 1861229684
Psychologist - Clinical in San Juan, PR

Active since September 16, 2024PECOS Enrolled
735 AVE PONCE DE LEON, TORRE DE AUXILIO MUTUO STE 410, SAN JUAN, PR 00917(787) 704-0705 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 4, 2025, Sep 16, 2024 (2 updates tracked since 2024).

About Mrs. Stephany M Ortiz Miranda Sr. Psyd NPPES

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

MRS. STEPHANY M ORTIZ MIRANDA SR. PSYD (NPI 1861229684) is an individual clinical provider in San Juan, Puerto Rico, licensed in Puerto Rico (8225) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Juan.

NPPES Registry Identity

NPI1861229684
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMRS. STEPHANY M ORTIZ MIRANDA SR.Credential: PSYD
Location Address735 AVE PONCE DE LEON, TORRE DE AUXILIO MUTUO STE 410San Juan, PR 00917-5025
Mailing AddressConcordia Gradens I, 12-c Calle LivornaSan Juan, PR 00924 · (787) 702-2434
Phone(787) 704-0705
Sole ProprietorYes
Enumeration DateSeptember 16, 2024
Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
✔ NPI 1861229684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PR · 8225
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedSocial WorkerTaxonomy 104100000X · License 15228 (PR)

Secondary Practice Location 1

Location 1cobian's plaza, lm-21san juan, PR 00909 · Phone (787) 550-3806

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Stephany M Ortiz Miranda Sr. Psyd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00917 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.44 typical visit price
range $56.86 – $172.44
Typical copayment $43.11 (range $14.21 – $43.11)
Most-billed visit code 99205
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. LUIS ANTONIO ACABA M.D.
Internal Medicine (Hematology & Oncology)
735 AVE PONCE DE LEON, STE 408
SAN JUAN, PR 00917
San Juan Municipio (787) 763-1788
DR. JOSE RAUL GONZALEZ-INCLAN M.D.
Surgery
735 AVE PONCE DE LEON
SAN JUAN, PR 00917
San Juan Municipio (787) 751-4197
DR. MIGUEL M ECHENIQUE M.D.
Surgery
735 AVE PONCE DE LEON
SAN JUAN, PR 00917
San Juan Municipio (787) 751-4197
DR. EDNA L. ZAYAS MD
Specialist
735 AVE PONCE DE LEON
SAN JUAN, PR 00917
San Juan Municipio (787) 764-8345
DR. JUAN ANTONIO GOTOS MD
Specialist
735 AVE PONCE DE LEON, SUITE 703
SAN JUAN, PR 00917
San Juan Municipio (787) 751-1878
JOSE R FREESE-SUAREZ MD
Internal Medicine
735 AVE PONCE DE LEON, TORRE AUXILIO MUTUO SUITE 403
SAN JUAN, PR 00917
San Juan Municipio (787) 766-4415
DR. JOSE R MONTES MD
Ophthalmology
735 AVE PONCE DE LEON, SUITE 813
SAN JUAN, PR 00917
San Juan Municipio (787) 777-0003
RAMON E CAO M.D.
Anesthesiology
735 AVE PONCE DE LEON, TORRE MEDICA AUXILIO MUTUO OFIC 704
SAN JUAN, PR 00917
San Juan Municipio (787) 379-6786

Frequently Asked Questions

What is Stephany M Miranda's NPI number?

The NPI number assigned to this healthcare provider is 1861229684, enumerated as an "individual" on September 16, 2024.

Where is the provider located?

The provider is located at 735 AVE PONCE DE LEON TORRE DE AUXILIO MUTUO STE 410 SAN JUAN, PR 00917 and the phone number is (787) 704-0705.

What is the provider's specialty?

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.