Doctor Name: | EDUARDO MIRANDA |
NPI Number: | 1285673012 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | K8347 |
Business Practice Address: | 2344 Laguna Del Mar Ct Suite 104 Laredo, TX - 780413470 |
Business Phone Number: | 9567248543 |
Business Fax Number: | 9567248352 |
Mailing Address: | Po Box 451369, LAREDO |
State: | TX |
Postal Code: | 780450033 |
Phone Number: | 9567248543 |
Fax Number: | 9567248352 |
NPI Enumeration Date: | 06/06/2006 |
NPI Last Update Date: | 01/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | K8347 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |