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Contact Information

STEPHANY M O MIRANDA SR, PSYD
735 AVE PONCE DE LEON
TORRE DE AUXILIO MUTUO STE 410
SAN JUAN, PR00917-5025
 Phone: 787-704-0705
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for STEPHANY M O MIRANDA SR · (Female)

NPI # 1861229684
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 09/16/2024
Last updated 03/04/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • PR License # 15228
  • PR License # 8225
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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