Miranda, Carlos

Miranda, Carlos is an individual health care provider with primary practice located at 5849 Diamond Point Cir , El Paso TX 79912-4156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Miranda, Carlos can be contacted via phone (915) 351-6600.

Contact Information

Primary practice address
5849 Diamond Point Cir El Paso TX 79912-4156
Fax: (915) 351-6601
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X E2295 Texas

Profile Details

NPI number 1184681454
LBN Legal business name Miranda, Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated May 21st, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184681454 NPPES
Other 020001373 RR MEDICARE
MEDICAID 123715805 RR MEDICARE
Other 8U9610 RR MEDICARE
MEDICAID X2538 RR MEDICARE

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