Individual ProviderWilliam MirandaPediatricsAllopathic & Osteopathic PhysiciansPractice AddressTorre San Pablo Suite 605, Bayamon, PR 00961(787) 787-0753PECOS EnrollmentBased on the most recent information from CMS, provider William Miranda does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:51 AM.Profile DetailsProvider ID1124168273Provider TypeIndividualFull NameMiranda, WilliamCredentialM.D.GenderMaleSole ProprietorYesEnumeration Date2/7/2007Last Updated4/25/2014Contact InformationPractice LocationPractice AddressTorre San Pablo Suite 605, Bayamon, PR 00961Phone(787) 787-0753Fax(787) 798-5900Mailing LocationMailing AddressPO Box 1759, Bayamon, PR 00960-1759Phone(787) 787-0753Fax(787) 798-5900Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense3913Puerto Rico