Elionexis Miranda, EMT-P
Individual provider Active NPI Paramedic · Rincon, PR
NPI 1992937668 · NPPES record last updated Nov 23, 2015
Key facts
- NPI
- 1992937668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Paramedic 146L00000X
- License
- EMT-P 2018 (PR)
- Practice address
- 414 KM 2.8 Rio Grande Rincon
Rincon, PR 00677 - Phone
- (817) 933-5582
- NPI assigned
- Aug 14, 2009
- 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
- Emergency Medical Technician - Paramedic
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EMT-P 2018 | PR | MD | Paramedic |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | EMT-P 2018 | PR | Yes |
Addresses
Primary practice location
414 KM 2.8 Rio Grande Rincon
Rincon, PR 00677
Mailing address
Rio Grande Rincon
HC 02 Box 23330
San Sebastian, PUERTO RICO 00685
UM
Phone (787) 933-5582
Other names
- Mr. Elionexis Miranda
Other providers in Rincon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2015. 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.