Daniel Miranda Cruz

Individual provider Active NPI Case Manager/Care Coordinator · Cornelius, OR

NPI 1073453544 · NPPES record last updated Apr 1, 2026

Key facts

NPI
1073453544
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1151 N Adair St
Cornelius, OR 97113-8900
Phone
(971) 708-9652
NPI assigned
Apr 1, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1151 N Adair St
Cornelius, OR 97113-8900

Mailing address

1151 N Adair St
Cornelius, OR 97113-8900
Phone (971) 708-9652

Other providers in Cornelius, OR

All providers in Cornelius, OR · Case Manager/Care Coordinator in Oregon

Sources for this page

Verify at the official NPI Registry.