Adura Miranda, Jose
Adura Miranda, Jose is an sole proprietor health care provider with primary practice located at 244 N Jackson Ave Ste 110 , San Jose CA 95116-1604. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Adura Miranda, Jose can be contacted via phone (408) 923-0257.Contact Information
Primary practice address
244 N Jackson Ave Ste 110
San Jose CA 95116-1604
Phone: (408) 923-0257
Fax: (408) 741-1683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | G37818 | California |
Profile Details
| NPI number | 1417067380 |
|---|---|
| LBN Legal business name | Adura Miranda, Jose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Nov 3rd, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417067380 | NPPES |
| California | MEDICAID | 7699318 |
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