Jose Miguel Miranda, MD
Individual provider Active NPI General Practice Physician · Jayuya, PR
NPI 1174724975 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1174724975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 5672 (PR)
- Practice address
- Rd. 5141
KM. 0.5
Jayuya, PR 00664-0791 - Phone
- (787) 828-0869
- Fax
- (787) 828-0869
- NPI assigned
- May 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5672 | PR | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 5672 | PR | Yes |
Addresses
Primary practice location
Rd. 5141
KM. 0.5
Jayuya, PR 00664-0791
Mailing address
PO Box 791
Jayuya, PR 00664-0791
Phone (787) 828-0869
Other providers in Jayuya, PR
- Migdalia Martinez
- Suli V Massini
- Jenny Ivelisse Matias Ramos
- Juan Gabriel Matos Concepcion
- Carlos Adrian Mejias Cruz
- Naydamar Montesinos - Ortiz
- Ilka S Montijo-Natal
- Municipio de Jayuya
- Municipio de Jayuya
- Municipio de Jayuya
All providers in Jayuya, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.