Dalmacio L Miranda Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35045229 Issued in OH

Practice address

8413 Lake Ave
Cleveland, OH 44102-1909

Phone

(216) 281-5300

Fax

(216) 281-0371

NPI assigned

Jul 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1972529444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8413 LAKE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441021909",
            "telephone_number": "216-281-5300",
            "fax_number": "216-281-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8413 LAKE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441021909",
            "telephone_number": "216-281-5300",
            "fax_number": "216-281-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "DALMACIO",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35045229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0614302",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Miracle, CNP
• Rachel Miramendi Kulhanek
• Ana Clara Miranda Geraldo, MD
• Annmarie Miranda, PA-C
• Cyndee Cruz Miranda, M.D.
• Latasha Miree, LICDC-CS
• Eduardo Mireles-Cabodevila, M.D.
• Miriam and Associates Inc
• Joshua Nathan Mirkin, MD
• Laziza Mirolimova

• Family Medicine Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.