2026 NPPES data Pediatric Rehabilitation Medicine Physician NPI 1861426322 MD
Verify on CMS →

Esmeralda Miranda Lama, MD

Pediatric Rehabilitation Medicine Physician in San Juan, Puerto Rico.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 398 in Pediatric Rehabilitation Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 430 beneficiaries · Pediatric Rehabilitation Medicine Physician avg: 241

What the federal data shows

Esmeralda Miranda Lama, MD filed 1,238 Medicare Part D claims in 2024 as a Pediatric Rehabilitation Medicine Physician in San Juan, Puerto Rico.

1K
Part D claims, 2024
≥78th
pct by Part D claim volume (lower-bound band)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Esmeralda Miranda Lama, MD

Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1861426322), first enumerated 07/10/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 1,238 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    Board certification signal

    Practices in an ABMS-board-eligible specialty; board certification not confirmed in federal records.

    Source: NUCC taxonomy + CMS participation heuristic

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1861426322 · Pediatric Rehabilitation Medicine Physician

NPI-10 · ENUM-LEGACY · TAX-TRACE · RX-MID · BOOK-THIN · PHOTO-ENUM

  • NPI-10 1861426322
  • ENUM-LEGACY 2006
  • TAX-TRACE 398
  • RX-MID 1,238
  • BOOK-THIN 3 in Puerto Rico
  • PHOTO-ENUM Donald Currie · 2006

Esmeralda Miranda Lama, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2024, across all CMS prescribers nationally

1,238 ≥ 78th percentile 78% of 1,416,883 prescribers are in lower value bands

0–200: 679,947 prescribers (48%). Below this entry. 200–400: 188,835 prescribers (13%). Below this entry. 400–600: 95,866 prescribers (7%). Below this entry. 600–800: 60,107 prescribers (4%). Below this entry. 800–1,000: 43,043 prescribers (3%). Below this entry. 1,000–1,200: 33,612 prescribers (2%). Below this entry. 1,200–1,400: 27,889 prescribers (2%). This entry sits in this band. 1,400–1,600: 23,183 prescribers (2%). Above this entry. 1,600–1,800: 19,917 prescribers (1%). Above this entry. 1,800–2,000: 17,585 prescribers (1%). Above this entry. 2K+: 226,899 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2024

Board-eligible specialty (heuristic, not verified)

Esmeralda Miranda Lama, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Esmeralda Miranda Lama, MD?

Quality data not reported

NPI registry status

Active

Issued 07/10/2006

NPI 1861426322

Primary specialty

Pediatric Rehabilitation Medicine Physician

Rare

398 US NPIs in this specialty

Medicare Part D claims

1,238 vs specialty avg

2024 prescription claims

Specialty avg: 241

Specialty distribution in Puerto Rico

How Pediatric Rehabilitation Medicine Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers
General Practice Physician9.8%Student in an Organized Heal…9.1%Pharmacist7.9%Pharmacy Technician5%Clinical Psychologist4.7%Clinical Social Worker4.3%Pediatric Rehabilitation Med…0%
Largest specialties in Puerto Rico (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pediatric Rehabilitation Medicine Physician. Verify directly:

How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

TORRE PLAZA LAS AMERICAS STE 614
San Juan, PR 00918

Provider Details

NPI 1861426322
Specialty Pediatric Rehabilitation Medicine Physician
Credentials MD
Gender Female
NPI Issued 07/10/2006

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

1,238
Total Claims
$25K
Total Drug Cost
430
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,325.633
Total Day Supply
30,019
Generic Drug Cost
$14K
Opioid Claims
22 (1.8% rate)

Patient Demographics

Average Patient Age
72.1 years
Avg HCC Risk Score
1.47
Gender Split
74% female / 26% male
Age Distribution
<65: 45, 65-74: 216, 75-84: 143, 85+: 26

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Esmeralda Miranda Lama, MD prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Gabapentin
332
Tizanidine Hcl
190
Etodolac
188
Baclofen
149
Meloxicam
88
Diclofenac Sodium
63
Diclofenac Potassium
37
Pregabalin
37
Celecoxib
34
Tramadol Hcl-Acetaminophen
Tramadol Hcl/Acetaminophen
18

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pediatric Rehabilitation Medicine Physician Overview

How Esmeralda Miranda Lama, MD fits within the Pediatric Rehabilitation Medicine Physician landscape nationally.

398
Pediatric Rehabilitation Medicine Physician Providers in US
44
States with Pediatric Rehabilitation Medicine Physician
241
Avg Claims per Provider

Esmeralda Miranda Lama, MD's 1,238 claims are above the specialty average of 241.

Nationwide Pediatric Rehabilitation Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Miranda Lama, both outside Puerto Rico so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Pediatric Rehabilitation Medicine Physician Providers in Puerto Rico

Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Miranda Lama.

One of 3 Pediatric Rehabilitation Medicine Physician providers enrolled in Puerto Rico, 2 are shown here.

Compare Pediatric Rehabilitation Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Esmeralda Miranda Lama, MD's specialty?
Esmeralda Miranda Lama, MD specializes in Pediatric Rehabilitation Medicine Physician and practices in San Juan, Puerto Rico. Credentials: MD.
How much does Esmeralda Miranda Lama, MD prescribe under Medicare Part D?
In 2024, Esmeralda Miranda Lama, MD wrote 1,238 Medicare Part D claims totaling $25K in drug costs for 430 beneficiaries.
Where is Esmeralda Miranda Lama, MD located?
Esmeralda Miranda Lama, MD is located at TORRE PLAZA LAS AMERICAS STE 614, San Juan, PR, 00918. Phone: (787) 767-7700.
What is Esmeralda Miranda Lama, MD's NPI number?
Esmeralda Miranda Lama, MD's National Provider Identifier (NPI) is 1861426322, issued on 07/10/2006.
Does Esmeralda Miranda Lama, MD prescribe opioids?
Yes, Esmeralda Miranda Lama, MD had 22 opioid claims in 2024 with an opioid prescribing rate of 1.8%.
How many Pediatric Rehabilitation Medicine Physician providers are there in the US?
There are 398 Pediatric Rehabilitation Medicine Physician providers across 44 states in the US. The average Pediatric Rehabilitation Medicine Physician provider writes 241 Medicare Part D claims per year.
What drugs does Esmeralda Miranda Lama, MD prescribe most often?
Based on 2024 Medicare Part D data, Esmeralda Miranda Lama, MD's most frequently prescribed drugs include Gabapentin, Tizanidine Hcl, Etodolac. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Esmeralda Miranda Lama, MD accept Medicare?
Esmeralda Miranda Lama, MD appears in CMS Medicare data with 1,238 Part D claims and 430 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Esmeralda Miranda Lama, MD's credentials?
Esmeralda Miranda Lama, MD's NPI is 1861426322 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.