Jose Raul Mireles - Guzman

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1124 Bay Blvd Ste D
Chula Vista, CA 91911-7155

Phone

(619) 420-3620

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689790099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4782 ARIZONA ST APT 7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921161322",
            "telephone_number": "619-420-0468",
            "fax_number": "619-420-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 BAY BLVD STE D",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919117155",
            "telephone_number": "619-420-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRELES - GUZMAN",
        "first_name": "JOSE",
        "middle_name": "RAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Sophia Miranda
• Brianna Nicole Miranda
• Celia Miranda
• Dominique Nicole Miranda, PTA
• Jocelyn K Miranda
• Genesis Sarahi Mireles
• Jaime Mireles, B.A.
• Bashar Mirza, M.D.
• Amanda Jasmina Miscevic
• Lukas Mischke

• All providers in Chula Vista, CA
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.