Provider Demographics
NPI:1306712328
Name:MIRANDA, CAROLINA MOISES (MSN,APRN,PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:MOISES
Last Name:MIRANDA
Suffix:
Gender:F
Credentials:MSN,APRN,PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4830 SW 5TH ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1309
Mailing Address - Country:US
Mailing Address - Phone:305-785-9034
Mailing Address - Fax:
Practice Address - Street 1:4830 SW 5TH ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1309
Practice Address - Country:US
Practice Address - Phone:305-785-9034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11042091363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health