Rene E. Miranda, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

34586 Issued in AZ

Practice address

422 E Mabel St
Tucson, AZ 85705-7457

Phone

(520) 979-6849

NPI assigned

Nov 13, 2006

Last updated

Oct 16, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1275604043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 E MABEL ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857057457",
            "telephone_number": "520-979-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 E MABEL ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857057457",
            "telephone_number": "520-979-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "RENE",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "34586",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD272298",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlet Miranda Asencio, MS, LPC
• Jessica Miranda Frias, RN
• Dalina Marie Miranda, RBT
• Daniella Miranda, RBT
• Jamie-Ann J Miranda, M.S., C.A.G.S.
• Mirasol Inc
• Mirasol, Inc.
• Mirasol, Inc.
• Donald Jan Miretsky, M.ED.
• Emily Mirochnick

• Dermatology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.