Active NPIIndividual providerSole proprietor

Jose A Miro Ceballos, MD

General Practice in San Juan, Puerto Rico

NPI Number1720203813
Practice location
1003 Calle Acapulco, San Juan, PR 00920-4054
Fax
787-749-9623
Last updated
July 9, 2007

Jose Antonio Miro Ceballos is a General Practice based in San Juan, PR. Jose Antonio Miro Ceballos practices in San Juan, PR and has the professional credentials of MD. The NPI Number for Jose Antonio Miro Ceballos is 1720203813 and holds a License No. 6979 (PR). The current practice location address for Jose Antonio Miro Ceballos is 1003 Calle Acapulco, San Juan, PR 00920-4054 and can be reached out via phone at 787-749-0849 and via fax at 787-749-9623.

Provider Profile Details

NPI Number
1720203813
Provider Name
Jose Antonio Miro Ceballos
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1003 Calle Acapulco, San Juan, PR 00920-4054
Phone Number
787-749-0849
Fax Number
787-749-9623
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 16, 2007
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1003 Calle Acapulco
San Juan, PR 00920-4054
Zip
00920-4054
Phone Number
787-749-0849
Fax Number
787-749-9623
San Juan, PR 00920Get directions →

Provider Business Mailing Address Details

Address
Po Box 367056
San Juan, PR 00936-7056
City
San Juan
State
PR
Zip
00936-7056
Phone Number
787-749-0849
Fax Number
787-749-9623

License Information

License Number
6979
License State
PR
Taxonomy
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jose A Miro Ceballos, MD?

The NPI number of Jose A Miro Ceballos, MD is 1720203813. It was assigned on April 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Jose A Miro Ceballos, MD?

Jose A Miro Ceballos, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 6979.

Where does Jose A Miro Ceballos, MD practice?

The practice location is 1003 Calle Acapulco, San Juan, PR 00920-4054. The office can be reached at 787-749-0849 (phone) or 787-749-9623 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720203813 directly on the NPPES registry website.

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