Appointment Booking We kindly ask that you schedule your appointment in advance. Booking ahead allows us to better manage our clinic schedule, keep track of your arrival, and ensure that we are able to accommodate you. Advance appointments help provide a more organized, convenient, and comfortable clinic experience for everyone. Teleconsultations Teleconsultations are available on Saturdays only and are by appointment. Please note that teleconsultations are on a private-pay basis and are no longer covered through insurance. Patients may book their Saturday teleconsultation directly with the clinic for further details and scheduling. About Dr. Miranda Dr. Miranda is an Internist specializing in Rheumatology, a medical specialty focused on the diagnosis and treatment of arthritis, musculoskeletal conditions, autoimmune and connective tissue diseases, gout, and other crystal-induced arthritides. Musculoskeletal conditions involve the muscles, joints, bones, tendons, and ligaments. These conditions may cause pain, swelling, stiffness, weakness, or difficulty with movement. Autoimmune and connective tissue diseases occur when the immune system mistakenly attacks the body's own tissues. These include conditions such as: Systemic Lupus Erythematosus (SLE) Rheumatoid Arthritis Vasculitis Scleroderma Polymyositis and Dermatomyositis Psoriasis and Psoriatic Arthritis And other autoimmune and connective tissue diseases Dr. Miranda also specializes in the diagnosis and management of gout and other crystal-induced arthritis, including conditions caused by the deposition of uric acid and other crystals in the joints. If you experience persistent joint or muscle pain, joint swelling or stiffness, recurrent gout attacks, unexplained musculoskeletal symptoms, or symptoms that may suggest an autoimmune or rheumatic disease, a consultation with a rheumatologist may be appropriate.