Visaya, Jiovani Miranda
Visaya, Jiovani Miranda is an individual health care provider with primary practice located at 10150 Hagen Ranch Road Suite 100, Boynton Beach FL 33437. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Visaya, Jiovani Miranda can be contacted via phone (561) 736-8141.Contact Information
Primary practice address
10150 Hagen Ranch Road Suite 100
Boynton Beach FL 33437
Phone: (561) 736-8141
Fax: (561) 736-5662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 258899 | New York |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | D77377 | Maryland |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | ME123156 | Florida |
Profile Details
| NPI number | 1487897500 |
|---|---|
| LBN Legal business name | Visaya, Jiovani Miranda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2009 |
| Last updated | May 24th, 2023 - about last year |
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 | 1487897500 | NPPES |
| Florida | MEDICAID | 015151100 |
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