Miranda, Roberto
Miranda, Roberto is an sole proprietor health care provider with primary practice located at 1508 Dessau Ridge Ln Apt 602 Ste B, Austin TX 78754-2121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miranda, Roberto can be contacted via phone (512) 477-9202.Contact Information
Primary practice address
1508 Dessau Ridge Ln Apt 602 Ste B
Austin TX 78754-2121
Phone: (512) 477-9202
Fax: (512) 472-9473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E2740 | Texas |
Profile Details
| NPI number | 1891798633 |
|---|---|
| LBN Legal business name | Miranda, Roberto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Jan 11th, 2011 - about 14 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 | 1891798633 | NPPES |
| Texas | Other | 00318Q | BCBS |
| Texas | MEDICAID | 140282837 | BCBS |
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