Active NPIIndividual provider

Luis A De Jesus Miranda, DO

Optometrist in Cidra, Puerto Rico

NPI Number1942402334
Practice location
Calle Jose De Diego #30, Cidra, PR 00739
Fax
787-714-4550
Last updated
July 8, 2007

Luis A De Jesus Miranda is an Optometrist based in Cidra, PR. Luis A De Jesus Miranda practices in Cidra, PR and has the professional credentials of DO. The NPI Number for Luis A De Jesus Miranda is 1942402334 and holds a License No. 304 (PR). The current practice location address for Luis A De Jesus Miranda is Calle Jose De Diego #30, Cidra, PR 00739 and can be reached out via phone at 787-714-4550 and via fax at 787-714-4550.

Provider Profile Details

NPI Number
1942402334
Provider Name
Luis A De Jesus Miranda
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
Calle Jose De Diego #30, Cidra, PR 00739
Phone Number
787-714-4550
Fax Number
787-714-4550
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
June 5, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
Calle Jose De Diego #30
Cidra, PR 00739
City
Cidra
Zip
00739
Phone Number
787-714-4550
Fax Number
787-714-4550
Cidra, PR 00739Get directions →

Provider Business Mailing Address Details

Address
Calle Jose De Diego #30
Cidra, PR 00739
City
Cidra
State
PR
Zip
00739
Phone Number
787-714-4550
Fax Number
787-714-4550

License Information

License Number
304
License State
PR
Taxonomy
Optometrist · 152W00000X · 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 Luis A De Jesus Miranda, DO?

The NPI number of Luis A De Jesus Miranda, DO is 1942402334. It was assigned on June 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Luis A De Jesus Miranda, DO?

Luis A De Jesus Miranda, DO is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in PR under license number 304.

Where does Luis A De Jesus Miranda, DO practice?

The practice location is Calle Jose De Diego #30, Cidra, PR 00739. The office can be reached at 787-714-4550 (phone) or 787-714-4550 (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 1942402334 directly on the NPPES registry website.

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